输尿管镜术治疗肾绞痛的疗效

Ureteroscopy for diagnosis and treatment of renal colic

目的 应用输尿管镜探寻肾绞痛病因并及时排除输尿管梗阻 ,缓解疼痛。方法 对 5 0例肾绞痛患者施行急诊经尿道输尿管镜检查术 ,同时对于 0 .5cm以下结石予以取石治疗 ,对于 0 .5cm以上结石予以碎石并留置双“J”管或输尿管导管。结果 取石成功 12例 ,气压碎石成功 3 0例 ,3例未发现结石和其它病变置入双“J”管内引流治疗好转 ,3例输尿管结石游走至肾脏予以ESWL治疗 ,2例找出相关病因 ,为进一步诊治提供可靠依据。无并发症发生。结论 经尿道输尿管镜术是治疗肾绞痛安全。

Objective To evaluate the clinical efficacy of ureteroscopy for the diagnosis and treatment of renal colic. Methods A total of 50 cases of renal colic were diagnosed and treated by ureteroscopy. Stones with size smaller than 0 5 cm were removed, but lithoclasty was performed on those stones with size bigger than 0 5 cm. In addition, J shaped catheters or ureteral catheters were indwelt for drainage. Results Successful removal of stones and lithoclasty were achieved in 12 and 30 cases, respectively. No urolithiasis and other lesions were found in 3 cases. Improvement was found in those cases with indwelt catheters. The average stay was 4-5 d. Correlative etiological factors were found in 2 patients by ureteroscopy. Conclusion Transurethral ureteroscopy is an effective and safe method for the diagnosis and treatment of renal colic.