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目的观察分析输尿管镜下治疗输尿管结石合并肾绞痛的临床效果,总结其临床应用价值。方法选取我院2007年5月至2011年5月118例输尿管结石合并肾绞痛的患者,均采取输尿管镜下碎石取石术治疗,观察治疗效果。结果 118例患者中,以下段结石的治疗成功率最高,中段结石次之,上段结石治疗成功率最低,不同部位输尿管结石的治疗成功率对比有一定差异(P<0.05);术后均无出现菌血症、断裂、输尿管穿孔等严重并发症。结论输尿管镜下治疗输尿管结石合并肾绞痛的临床效果明显,尤其针对中下段结石的患者疗效显著,可有效缓解临床症状,并发症少,安全可靠,值得临床推广使用。
Objective To observe and analyze the clinical effect of ureteroscopic ureteral calculi combined with renal colic and to summarize its clinical value. Methods A total of 118 patients with ureteral calculi and renal colic who were treated in our hospital from May 2007 to May 2011 were treated with ureteroscopic lithotripsy and the therapeutic effect was observed. Results Among the 118 patients, the success rate of the stones in the following segment was the highest, followed by the stones in the middle segment, and the success rate of stones in the upper segment was the lowest. There was a significant difference in the success rate of ureteral stones between different sites (P <0.05) Bacteremia, fracture, ureteral perforation and other serious complications. Conclusions Ureteroscopic treatment of ureteral calculi combined with renal colic has obvious clinical effect, especially for patients with middle and inferior calculi, which can effectively relieve clinical symptoms, less complications, safe and reliable, and worthy of clinical promotion and use.