急诊体外冲击波碎石术治疗输尿管结石致肾绞痛450例疗效观察

Emergent ESWL treatment of 450 cases of ureteral stones induced renal colic

目的探讨急诊体外冲击波碎石术（ESWL）治疗输尿管结石致肾绞痛的临床效果。方法应用深圳慧康公司生产的ESWL-V型液电式电磁式体外冲击波碎石机,对450例输尿管结石致肾绞痛急诊行ESWL治疗。术中工作电压10~15 kV,冲击次数500~2000次。术后配合中西医结合治疗。结果 450例输尿管结石致肾绞痛患者,一次性治愈400例,占88.89%。两次或两次以上治愈48例,占10.67%。无效2例,占0.44%。均无明显不良反应。结论输尿管结石致肾绞痛发作时,应用ESWL是一种安全、有效的治疗方法,并可有效排出结石,可作为本病的首选治疗方法。此方法简单,疗效可靠。

Objective To explore ESWL therapy for relieving renal colic caused by ureteral calculi in the Emergency Department.Methods ESWL-v type extracorporeal shock wave lithotripter manufactured by Shenzhen Hui Kang Company had been applied for emergent treatment of 450 cases of ureteral calculi-induced renal colic under voltage 10~15KV for 500~2 000 times of impact.Patients after this therapy were treated with combination of Western and Chinese traditional medicine.Results Among these 450 cases of ureteral calculi induced renal colic,400（88.89%） cases were cured by single time treatment,48（10.67%） cases were cured by 2 or more times,and 2（0.44%） failed in treatment.There were no apparent adverse reactions.Conclusion The treatment of patients with ureteral calculi-induced renal colic by ESWL therapy is safe,effective,and efficient,and it is effective for exhausting calculi from urinary tract.This approach is simple and reliable,and it can be applied as first choice for treatment of this disease.