目的提高输尿管结石的急诊诊断水平。方法对 310例输尿管结石伴腰腹部疼痛患者的急诊诊断方法进行回顾性分析。结果本组患者定位诊断准确率为 92 % ,定量诊断的准确率是 91% ;临床症状与体检分析定性诊断的准确率是 85 .8% ,B超检查的定位准确率是 72 .5 % ,KUB和 IVU检查的定位准确率分别是 69.1%和 60 .3% ,CT检查的定性定位准确率是 69.6%。结论输尿管结石诱发的肾绞痛是泌尿外科急诊的常见多发病 ,其急诊诊断需要主观症状结合多种辅助检查综合考虑 Objective To improve the emergency diagnosis of ureteral calculi. Methods A retrospective analysis was made on the emergency diagnosis of 310 patients with ureteral calculi associated with lumbar and abdominal pain. Results The accuracy of localization diagnosis was 92% and the accuracy of quantitative diagnosis was 91%. The diagnostic accuracy of clinical symptoms and physical examination was 85.8%, and the accuracy of B ultrasound examination was 72.5% The accuracy of positioning of KUB and IVU was 69.1% and 60.3% respectively, and the accuracy of CT was 69.6%. Conclusions Ureteral calculi-induced renal colic is a common and frequently-occurring disease in urological emergency, and its emergency diagnosis needs subjective symptoms in combination with various auxiliary examinations