输尿管镜下碎石术治疗输尿管结石并发肾绞痛80例

Ureteroscopic lithotripsy for treatment of ureteral calculi with renal colic:A Report of 80 Cases

目的探讨输尿管镜下碎石术治疗输尿管结石并发肾绞痛的疗效。方法对80例因输尿管结石并发肾绞痛患者,采用输尿管镜下碎石术。结果1例因结石上移至肾盂,1例因输尿管下段狭窄使输尿管镜无法到达结石部位手术失败,其余78例均碎石成功,术后当天肾绞痛缓解,碎石手术成功率和术后肾绞痛缓解率均为97.5%。结论输尿管镜下碎石术治疗输尿管结石及其引起的肾绞痛,是一种安全、有效的方法。

Objective To evaluate the clinical efficacy of ureteroscopic lithotripsy for the treatment of ureteral calculi with renal colic. Methods A total of 80 cases of ureteral calculi with renal colic were treated by ureteroscopic lithotripsy. Results Successful lithotripsy was achieved in 78 cases , two cases failed because movement of calculus to pelvis renalis in one and no access to calculus site by ureteroscope due to ureterostenosis at inferior segment in the other . Conclusions Ureteroscopic lithotripsy is an effective and safe method for the treatment of ureteral calculi with renal colic.