[1]王刚伟 邢帮荣 吴杰英 刘小彭 罗云 狄金明.比较保守治疗或手术对急诊输尿管中下段小结石性肾绞痛的治疗价值[J].中华腔镜泌尿外科杂志(电子版),2014,(02):109-112.
　Wang Gangwei,Xing Bangrong,Wu Jieying,et al.Compare the clinic value of conservative management or surgery in the emergency treatment of acute renal colic caused by small middle or lower ureteral stone[J].,2014,(02):109-112.
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比较保守治疗或手术对急诊输尿管中下段小结石性肾绞痛的治疗价值()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2014年02期
页码:
109-112
栏目:
临床研究
出版日期:
2014-04-30

文章信息/Info

Title:
Compare the clinic value of conservative management or surgery in the emergency treatment of acute renal colic caused by small middle or lower ureteral stone
作者:
王刚伟 邢帮荣 吴杰英 刘小彭 罗云 狄金明
510630广州，中山大学附属第三医院急诊外科（王刚伟、邢帮荣），泌尿外科（吴杰英、刘小彭、罗云、狄金明）
Author(s):
Wang Gangwei;  Xing Bangrong;  Wu Jieying;  Liu Xiaopeng;  Luo Yun;  Di Jinming.
Department of Urology, the Third Affiliated Hospital of Sun Yat-sen University, Guangzhou 510630, China
关键词:
急诊; 输尿管镜; 输尿管结石; 肾绞痛
摘要:
目的探讨药物保守治疗或输尿管镜碎石取石术两种方法治疗输尿管中下段小结石性肾绞痛的临床效果。方法 2012年 7月至 2013年 4月间将 40例输尿管中下段结石性肾绞痛患者随机分为两组。治疗组 20例，应用输尿管镜碎石取石术，对照组 20例采用排石、解痉药物保守治疗。结果与对照组相比，治疗组肾绞痛缓解率较高（ P＜0.05）；肾绞痛再发生率较低（ P＜0.05）；从入组到肾绞痛缓解所需时间平均较短（ P＜0.05）。治疗组清除结石的治愈率（ 95%，19/20）明显高于对照组（ 55%，11/20）（P＜0.05），治疗组仅 1例治疗失败，但拔出双 J管 1周后自行排出；对照组中 9例保守治疗失败，其中 3例通过体外冲击波碎石术治疗排出结石、6例采取输尿管镜碎石取石术最终取出结石。结论输尿管镜下碎石取石术治疗输尿管中下段小结石性肾绞痛可及早解除疼痛、减轻痛苦，且清除结石治愈率高，值得临床推广应用。

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备注/Memo

备注/Memo:
通讯作者：狄金明，Email: jinming.di@gmail.com
更新日期/Last Update: 2014-04-25