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目的:观察分析输尿管结石及复杂性肾结石等较大结石患者采用体外冲击波碎石术治疗中应用双J管的临床效果。方法:随机选取我院60例复杂肾结石及输尿管结石患者为研究对象,所有患者在膀胱镜下放置双J管逆行插管进行体外冲击波碎石术治疗,观察患者的临床治疗效果。结果:本组60例患者中,35例1次排除干净,14例2次排除干净,7例3次排除干净,3例4次以上排除干净,结石排除有效率为98.3%。所有患者都没有出现严重的并发症,只有1例合并严重肾积液出现结石嵌顿情况,改用开放手术。结论:复杂性肾结石、输尿管结石患者采用体外冲击波碎石术治疗中放置双J管,可有效提高结石排出率,降低相关并发症发生率,值得在临床上进一步推广应用。
OBJECTIVE: To observe and analyze the clinical effect of double J tube in the treatment of patients with larger stones such as ureteral calculi and complex renal calculus by extracorporeal shock wave lithotripsy. Methods: Sixty patients with complicated renal calculi and ureteral calculi in our hospital were randomly selected for the study. All patients underwent double J tube retrograde intubation under cystoscopy for extracorporeal shock wave lithotripsy. The clinical effect of the treatment was observed. Results: Among the 60 patients in this group, 35 cases were excluded once, 14 cases were eliminated twice, 7 cases were excluded 3 times and 3 cases were excluded more than 4 times. The effective rate of stone removal was 98.3%. All patients did not have serious complications, only 1 case of severe renal effusion with stone incarceration, switch to open surgery. Conclusion: Complicated nephrolithiasis and ureteral calculi in patients with ureteral stones treated with extracorporeal shock wave lithotripsy double J tube can effectively improve the rate of stone discharge, reduce the incidence of complications, it is worth further clinical application.