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目的:比较保守治疗或手术对急诊输尿管中下段小结石性肾绞痛的治疗价值,以供参考。方法:选取我医院2014年1月至2015年3月收治的急诊输尿管中下段小结石性肾绞痛病患50例作为手术组,实施手术治疗。以同期实施保守治疗者50例作为保守组。对比两组在疼痛减轻程度、排净结石率、不良现象等方面的差异性。结果:手术组病患疼痛减轻程度明显大于保守组,排净结石率明显高于保守组,不良现象发生率明显低于保守组,差异有统计学意义(P<0.05)。结论:手术治疗急诊输尿管中下段小结石性肾绞痛能够有效促进病患疼痛的缓解和提高结石排出率,且安全可靠,跟保守治疗对比有明显优势,值得推广。
Objective: To compare conservative treatment or surgical treatment of small ureteral calculi in the lower part of stone renal colic, for reference. Methods: Fifty patients with small renal calculus in the middle and lower ureter of emergency department who were admitted to our hospital from January 2014 to March 2015 were selected as the operation group. Conservative treatment with the implementation of the same period in 50 cases as a conservative group. Compare the two groups in the degree of pain relief, row rate of stone, adverse phenomena, and other differences. Results: The degree of pain reduction in the operation group was significantly higher than that in the conservative group. The rate of row of clear stones was significantly higher than that in the conservative group. The incidence of adverse reactions was significantly lower than that in the conservative group (P <0.05). Conclusion: Surgical treatment of small ureteral calculi in the lower ureteral calculi can effectively relieve pain and improve the rate of stone excretion. It is safe and reliable and has obvious advantages compared with conservative treatment. It is worthy of promotion.