CAJ | 학술논문

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。
목적：탐토수뇨관경치료완고성신교통적림상료효。방법선택2010년10월～2013년2월래아원치료적완고성신교통환자48례，기중남성29례，녀성19례，채용요경연합마취，직경2～3mm결석이물겸직접취출，＞3mm결석용기압탄도쇄석후용이물겸취출，상규방치쌍J관3～4주。결과수뇨관경하발현수뇨관하단결석26례，중단결석11례，상단결석8례，서상물2례，혈응괴1례，기중수뇨관결석반협착4례，수뇨관결석반식육3례。술후동통완전소실42례，동통명현완해6례，가잠정사용진통약물。결론수뇨관경치료불부가이재비교단적시간내검사출신교통적병인，환가이의조병인채취불동적치료수단，시일충치료완고성신교통안전、편첩적진단급치료방법。
Objective 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 29 males,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.Results Transureteroscopic found that Stones were in lower ureter 26 cases,mid ureter 11 and upper ureter 8,4 bile duct floc,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.Conclusion Ureteroscopy 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.