CAJ | 학술논문

目的：对输尿管结石疼痛症状与上尿路梗阻程度进行相关性分析。方法：对131例输尿管结石患者的病史资料进行临床分析，将患者分为两组，A组42例为无疼痛症状输尿管结石，B组89例为有疼痛症状输尿管结石。所有患者就诊之前均无侵入性治疗史，排除了导致上尿路梗阻的其他病因；经影像学检查判断上尿路梗阻程度（患侧肾轻、中、重度积水）。观察两组上尿路梗阻程度的差异。结果：A组患肾轻度积水4例（9.5%），中度积水16例（38.1%），重度积水22例（52.4%）；B组患肾轻度积水60例（67.4%），中度积水25例（28.1%），重度积水4例（4.5%）。A组中、重度肾积水发生率均明显高于B组，差异均有统计学意义（P<0.05）；经Pearson相关性分析，输尿管结石有无疼痛症状和上尿路梗阻程度有显著相关性（r=0.523， P<0.05）。结论：输尿管结石上尿路梗阻程度与有无疼痛症状具有显著相关性，无疼痛症状的输尿管结石上尿路梗阻程度较重。可能与患者症状不明显（或无症状），忽视检查、治疗，依从性差，延误治疗时机有关，最终发展至肾功能不可逆的损害。因此，对此类患者，应加强宣教，提高患者复查、治疗的依从性，及时解除梗阻，挽救肾功能。
목적：대수뇨관결석동통증상여상뇨로경조정도진행상관성분석。방법：대131례수뇨관결석환자적병사자료진행림상분석，장환자분위량조，A조42례위무동통증상수뇨관결석，B조89례위유동통증상수뇨관결석。소유환자취진지전균무침입성치료사，배제료도치상뇨로경조적기타병인；경영상학검사판단상뇨로경조정도（환측신경、중、중도적수）。관찰량조상뇨로경조정도적차이。결과：A조환신경도적수4례（9.5%），중도적수16례（38.1%），중도적수22례（52.4%）；B조환신경도적수60례（67.4%），중도적수25례（28.1%），중도적수4례（4.5%）。A조중、중도신적수발생솔균명현고우B조，차이균유통계학의의（P<0.05）；경Pearson상관성분석，수뇨관결석유무동통증상화상뇨로경조정도유현저상관성（r=0.523， P<0.05）。결론：수뇨관결석상뇨로경조정도여유무동통증상구유현저상관성，무동통증상적수뇨관결석상뇨로경조정도교중。가능여환자증상불명현（혹무증상），홀시검사、치료，의종성차，연오치료시궤유관，최종발전지신공능불가역적손해。인차，대차류환자，응가강선교，제고환자복사、치료적의종성，급시해제경조，만구신공능。
Objective:To analyze the correlation on ureteral calculi pain symptoms and the degree of the upper tract obstruction.Method:131 patients with ureteral calculi in clinical were analyzed,they were divided into two groups, the group A(n=42)was no pain symptoms of ureteral calculi,the group B for the pain of ureteral calculi(n=89),all cases before treatment there were no history of invasive procedures,also ruled out other causes of urinary tract obstruction leads to,the degree of urinary tract obstruction was judged by imaging examination,they were divided into light,medium and heavy water side kidney. The differences between the two groups were compared.Result:The group A:the risk of kidney mild water were 4 cases(9.5%),moderate water in 16 cases(38.1%),severe water were 22 cases(52.3%);the group B,suffering from mild water were 60 cases(67.4%),moderate water had 25 cases(28.1%),severe water for 4 cases(4.5%). After statistics analysis,the incidence of severe hydronephrosis in the group A were significantly higher than the group B,with statistically significant differences(P<0.05). The ureteral calculi without pain symptoms and the upper urinary tract obstruction degree had significant correlation(r=0.523,P<0.05).Conclusion:Ureteral calculi in the urinary tract obstruction degree is significantly associated with the presence of pain symptoms,no pain symptoms of urinary tract obstruction degree heavier ureteral calculi. May not be the obvious symptoms(or asymptomatic),ignore the examination,treatment,poor compliance,delayed treatment time,eventually to irreversible damage to the kidney function,therefore,for such patients,should strengthen the propaganda and education,improve the patients’ review, treatment compliance,remove the obstruction in time,save the renal function.