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1997年2月～2000年5月,我院对输尿管结石致肾绞痛行急诊B超定位体外冲击波碎石(Extracorporal shock wavelithotripsy,ESWL)治疗24例,取得良好疗效,无明显不良反应。现报告如下。1 资料与方法1.1 临床资料本组24例,男18例,女6例,年龄15～62岁,平均37岁。肾绞痛时间1～36小时(平均3.5小时)。ESWL前已行解痉止痛药物治疗无效者8例,未行治疗者16例。所有病例均有典型输尿管结石致肾绞痛的临床症状与体征。尿常规示RBC+～++++/HP,急诊血常规,血生化检查示血WBC、BUN正常或轻度升高。24例均未行X线任何检查,而直接躺
From February 1997 to May 2000, 24 cases of ureteral calculi induced renal colic were treated by emergency B ultrasound extracorporeal shock wavelithotripsy (ESWL) in our hospital, with good curative effect and no adverse reactions. The report is as follows. 1 Materials and Methods 1.1 Clinical data The group of 24 patients, 18 males and 6 females, aged 15 to 62 years, mean 37 years. Renal colic time 1 to 36 hours (average 3.5 hours). ESWL before antispasmodic analgesic drugs ineffective in 8 cases, 16 cases were not treated. All cases had typical clinical symptoms and signs of ureteral calculi-induced renal colic. Urinary routine showed RBC + ~ ++++ / HP, emergency blood routine, blood biochemical tests showed that blood WBC, BUN normal or mildly elevated. None of the 24 patients underwent any X-ray examination and were lying directly