ESWL急诊治疗输尿管结石绞痛发作

目的探讨急诊体外冲击波碎石术(ESWL)治疗输尿管结石绞痛。方法总结我院自1996年以来采用ESWL急诊治疗256例输尿管结石绞痛患者的经验。结果经1次ESWL治疗疼痛缓解者228例(89.06%),经2次ESWL治疗疼痛缓解者23例穴8.99%雪。经1次ESWL治疗结石排净者90例(35.16%),经2次ESWL治疗结石排净者126例(49.22%)。结石总排净率为100%。结论出现输尿管结石绞痛时应及时行ESWL和综合治疗,以求尽早解除患者痛苦,缩短病程、保护肾功能。结石定位应当结合其它临床资料,综合分析,以防误诊。

Emergency ESWL in the treatment of ureteral stone with acute colic

Objective To investigate the effectiveness of emergency extracopereal shock wave lithotripsy(ESWL)in the treatment of ureteral stone with acute colic.Methods The256cases of ureteral stone with acute colic were treated with ESWL.Results Among all the256cases of acute ureteral colic were relieved in228cases(89.06%)after the first procedure,and23cases(8.99%)after the second procedure.Stone clearances rates were35.16%and49.22%after the first and the second procedure respectively.General stone clearance rate was100%.Conclusion Timely combined treatments with priority to the emergency ESWL should be applied in the patients with ureteral stone accompanied by acute colic in order to relieve the pains,shorten the courses of the disease and protecting the renal functions.The localization procedure of the stones should be integrated with other clinical materials to avoid misdiagnosis.