[体外冲击波碎石术治疗双侧输尿管结石合并肾绞痛的急诊处理]
[Extracorpreal shockwave lithotripsy in treatment of bilateral ureteral calculi with renal colic during emergency].
作者信息
Liu Cheng-shan, Zhang Peng, Shao Zhi-qiang, Zheng Shao-bin
机构信息
Department of Urology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.
出版信息
Nan Fang Yi Ke Da Xue Xue Bao. 2010 Jan;30(1):189-90.
OBJECTIVE
To evaluate the clinical efficacy of extracorporeal shockwave lithotripsy (ESWL) for bilateral ureteral stones with renal colic in emergency.
METHODS
We retrospectively analyzed the clinical data of 86 patients suffered with sudden renal colic due to bilateral ureteral stones and treated with ESWL between January 2005 and January 2009.
RESULTS
The success rate was 74.4% after a single ESWL session, and the overall success rate was 82.6%. Significant difference in stone length was observed between successful group and failed group (P<0.01). The stone position did not produce significant impact on the outcome of the treatment (P>0.05).
CONCLUSION
ESWL is an effective treatment modality in emergency for small-length and short-term obstruction bilateral ureteral stones with remal colic.
目的
评估体外冲击波碎石术（ESWL）治疗双侧输尿管结石并伴有肾绞痛的临床疗效。
方法
回顾性分析2005年1月至2009年1月间86例因双侧输尿管结石突发肾绞痛并接受ESWL治疗的患者的临床资料。
结果
单次ESWL治疗成功率为74.4%，总体成功率为82.6%。成功组与失败组结石长度差异有统计学意义（P<0.01）。结石位置对治疗结果无显著影响（P>0.05）。
结论
ESWL是治疗双侧输尿管结石并伴有肾绞痛、结石长度小且梗阻时间短的急症的有效治疗方式。
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