双“J”管留置治疗顽固性肾绞痛的效果  

Outcomes of double-J catheter placement in treating refractory renal colic

作　　者：顾懿宁[1] 乐克平[1] 刘春林[1] 单勇[1] 

机构地区：[1]姜堰市人民医院泌尿外科,江苏省225500

出　　处：《江苏医药》2012年第12期1417-1419,共3页Jiangsu Medical Journal

摘　　要：目的探讨留置双"J"管治疗上尿路疾病引起顽固性肾绞痛的价值。方法顽固性肾绞痛患者118例(A组),采用输尿管镜下留置双"J"管急诊治疗成功;选择同期各种原因未置双"J"管而仅予对症处理的顽固性肾绞痛患者57例作为对照(B组)。比较两组的疼痛转归及肾功能恢复情况。结果 A组患者疼痛程度明显减轻,治疗有效率高于B组(98.3%vs.66.7%)(P<0.05)。同时,急性梗阻性肾功能不全患者置双"J"管后肾功能明显好转,尿量>400ml/d。结论顽固性肾绞痛患者急诊输尿管镜下留置双"J"管,能迅速缓解肾绞痛,改善肾功能。Objective To investigate the outcomes of double-J catheter placement in treating refractory renal colic. Methods A total of 118 cases（group A） with refractory renal colic caused by the upper urinary tract disease was successfully placed double-J catheter through emergency ureteroscope and 57 cases（group B） with the same diagnosis as in group A were treated only with medicine because of various reasons without double-J catheter placement. The improvements in pain and renal function were compared. Results The effectiveness rate was higher in group A than that in group B（98.% vs. 66.7%）（P〈0. 05）. Renal colic in group A was attenuated and renal function of obstructive nephropathy improved obviously though double-J catheter placement with urinary volume of greater than 400 ml/d. Conclusion Placing double-J catheter through emergency ureteroscope can quickly and effectively attenuate refractory renal colic and imDrove renal function_

关 键 词：双“J”管 肾绞痛 

分 类 号：R692[医药卫生—泌尿科学]