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目的探讨留置双“J”管治疗上尿路疾病引起顽固性肾绞痛的价值。方法顽固性肾绞痛患者118例(A组),采用输尿管镜下留置双“J”管急诊治疗成功;选择同期各种原因未置双“J”管而仅予对症处理的顽固性肾绞痛患者57例作为对照(B组)。比较两组的疼痛转归及肾功能恢复情况。结果 A组患者疼痛程度明显减轻,治疗有效率高于B组(98.3%vs.66.7%)(P<0.05)。同时,急性梗阻性肾功能不全患者置双“J”管后肾功能明显好转,尿量>400ml/d。结论顽固性肾绞痛患者急诊输尿管镜下留置双“J”管,能迅速缓解肾绞痛,改善肾功能。
Objective To investigate the value of indwelling double “J” tube in treating refractory renal colic caused by upper urinary tract diseases. Methods One hundred and fourty-eight patients with refractory renal colic were enrolled in this study. Group A was treated with ureteral double “J” tube emergency treatment. All patients were selected for symptomatic treatment without any double “J” Fifty-seven patients with refractory renal colic were used as controls (group B). Pain relief and renal function recovery were compared between the two groups. Results The pain in group A was significantly reduced, and the effective rate of treatment was higher than that in group B (98.3% vs.66.7%, P <0.05). At the same time, patients with acute obstructive renal failure set double “J ” after renal function improved significantly, urine output> 400ml / d. Conclusions Emergency ureteroscopy in patients with refractory renal colic can be used to place double “J ” tubes, which can relieve renal colic rapidly and improve renal function.