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目的探讨急诊输尿管镜技术治疗输尿管结石并顽固性肾绞痛的临床应用价值。方法采用急诊输尿管镜下气压弹道碎石术治疗输尿管结石引起的顽固性肾绞痛56例,总结分析其临床效果。结果 56例患者单次碎石成功54例,碎石成功率96%,其中中下段结石碎石成功率100%,无输尿管黏膜撕脱、断裂等严重并发症。结论急诊输尿管镜下气压弹道碎石术治疗输尿管结石,尤其是中下段结石引起的顽固性肾绞痛,安全有效,损伤小,是一种较为满意的微创治疗方法。
Objective To investigate the clinical value of emergency ureteroscopy in the treatment of ureteral calculi and refractory renal colic. Methods Emergency ureteroscopic pneumatic lithotripsy for the treatment of 56 cases of refractory renal colic caused by ureteral calculi, summarizes the clinical effect. Results In 56 cases, 54 cases were successfully treated with single gravel, the success rate of gravel was 96%, and the success rate of middle and lower calculi was 100%. There were no serious complications such as ureteral mucosal avulsion and rupture. Conclusion Emergency ureteroscopic pneumatic lithotripsy for ureteral calculi, especially refractory renal colic caused by stones in middle and lower segments, is safe and effective with less damage. It is a satisfactory minimally invasive treatment.