探讨输尿管镜治疗顽固性肾绞痛的临床疗效

Investigation of Clinical Efficacy of Ureteroscopy in the Treatment of Refractory Renal Colic

目的探讨输尿管镜治疗顽固性肾绞痛的临床疗效。方法选择2010年10月～2013年2月来我院治疗的顽固性肾绞痛患者48例,其中男性29例,女性19例,采用腰硬联合麻醉,直径2～3mm结石异物钳直接取出,>3mm结石用气压弹道碎石后用异物钳取出,常规放置双J管3～4周。结果输尿管镜下发现输尿管下段结石26例,中段结石11例,上段结石8例,絮状物2例,血凝块1例,其中输尿管结石伴狭窄4例,输尿管结石伴息肉3例。术后疼痛完全消失42例,疼痛明显缓解6例,可暂停使用镇痛药物。结论输尿管镜治疗不仅可以在比较短的时间内检查出肾绞痛的病因,还可以依照病因采取不同的治疗手段,是一种治疗顽固性肾绞痛安全、便捷的诊断及治疗方法。

Object ive To investigate the clinical efficacy of ureteroscopy in the treatment of refractory renal colic.Methods 48 patients with refractory renal colic in our hospital between October 2010 and February 2013 were selected for study,including 29males,19 females,all patients were given epidural anesthesia,2- 3mm stones foreign were taken directly by tongs, 〉 3mm stones foreign were first smashed by Lithotripsy,when taken by tongs.Double J tube had been placed conventionally for 3 - 4 weeks.Resu Its Transureteroscopic found that Stones were in lower ureter 26 cases,mid ureter 11 and upper ureter 8,4 bile duct floe,1 blood clots,6 ureteral stones with stricture,3 ureteral stones with Polypus.The pain disappeared completely immediately in 42 patients,significantly relieved in 6,may suspend the use of analgesic drugs.Cone I us i on Ureteroseopy can not only check out the cause of refractory renal colic in a relatively short time,can also give different treatment according to the cause,is a safe and convenient method of diagnosis and treatment.