目的 评估急诊输尿管镜术治疗输尿管结石致肾绞痛的效果.方法 对39例输尿管结石致肾绞痛患者急诊行输尿管镜钬激光碎石术.结果 38例(42侧)顺利完成急诊输尿管镜术,1例因输尿管扭曲严重,改开放手术.术后所有患者肾绞痛症状均消失,无严重并发症发生.结论 急诊输尿管镜术治疗输尿管结石致肾绞痛具有操作简单、安全有效、创伤小、术后恢复快等特点,可以作为治疗输尿管结石致急性肾绞痛的一种安全有效方法,但仍需严格把握手术指征.%Objective To assess the effectiveness of emergency ureteroscopy for treatment of ure-teral calculi with renal colic. Methods A total of 39 cases of ureteral calculi with renal colic were treated with emergency ureteroscopic holmium laser lithotripsy. Results Successful emergency ureteroscope were completed in 38 cases( 42 sides ). Only 1 case was performed with open operation due to serious distortions. After the operation, renal colic symptoms disappeared in all patients, and no serious complications occurred. Conclusion In the treatment of ureteral calculi with renal colic, ureteroscopy is a simple, safe and effective method with little trauma and rapid postoperative recovery, but the operation indications still need to be controlled strictly.
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