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THE FIRST CHOICE OF TREATMENT FOR URINARY INFECTED RENAL STONES

THE FIRST CHOICE OF TREATMENT FOR URINARY INFECTED RENAL STONES
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摘要 Objective To investigate the appropriate treatment of infectious renal stones. Methods Between April 1999 and June 2006, 60 patients presented to our department with infectious renal stones. Twenty-nine patients were treated by extracorporeal shock-wave lithortripsy(ESWL) only, 31 patients were given a combination therapy. Thirty-four males and 26 females were evaluated by routine urine tests including urine culture and sensitivity before ESWL treatments. The total number of shock waves varied from 1 600 to 2 800 and the energy levels ranged from 1 to 6 unit. Results The fragmentation after ESWL was 61.6%; 18.3% after 2 ESWL sessions, 8.3% after 3 ESWL sessions, 5.0% after 4 ESWL sessions, 3.3% after 7 ESWL sessions and 1.66% after 9 ESWL sessions. Only one (1.66%) patient failed and changed to open surgery. Conclusion ESWL is an effective and reliable treatment for patients with infectious renal stones. However, better effects and shorter treatment time is obtained by the combination therapy of ESWL with other therapy options. Objective To investigate the appropriate treatment of infectious renal stones. Methods Between April 1999 and June 2006, 60 patients presented to our department with infectious renal stones. Twentynine patients were treated by extracorporeal shock-wave lithortripsy( ESWL ) only, 31 patients were given a combina- tion therapy. Thirty-four males and 26 females were evaluated by routine urine tests including urine culture and sensitivity before ESWL treatments. The total number of shock waves varied from 1 600 to 2 800 and the energy levels ranged from 1 to 6 unit. Results The fragmentation after ESWL was 61.6% ; 18. 3% after 2 ESWL sessions, 8. 3% after 3 ESWL sessions, 5. 0% after 4 ESWL sessions, 3. 3% after 7 ESWL sessions and 1.66% after 9 ESWL sessions. Only one ( 1.66% ) patient failed and changed to open surgery. Conclusion ESWL is an effective and reliable treatment for patients with infectious renal stones. However, better effects and shorter treatment time is obtained by the combination therapy of ESWL with other therapy options.
出处 《Journal of Shanghai Second Medical University(Foreign Language Edition)》 2007年第1期37-40,共4页 上海第二医科大学学报(英文版)
关键词 renal caculi extracorporeal shock-wave lithortripsy INFECTIOUS staghorn 肾结石 泌尿系统感染 治疗 病理机制
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参考文献8

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