摘要
回顾性总结了326例直径为0．6～2．3cm肾下极结石患者行体外冲击波碎石（ESWL）的资料。每位患者ESWL后均常现给予中药排石冲剂，ESWL后1个月及每隔6～12个月进行X线检查和临床随访。结果326例中，162例（49．7％）在ESWL后1个月复查无结石，75例（23．0％）在1～96个月（平均21个月）的随访中排净结石，总无石率为72．7％。其余患者中，残余结石减少、保持稳定或增多者分别为20例（6．1％）、45例（13．8％）和24例（7．4％）。278例（85．3％）在1～96个月随访中无症状。结石直径＞2.0cm的32例中有10例（31．3％）无结石。提示ESWL仍应是＜2．0cm肾下极结石的首选治疗方法。
Retrospectively studied the outcome of 326 patients with solitary lower pole stone from 0. 6 cm to 2. 3 cm in diameter treated by ESWL. All patients received followup radiological examination at 1 month and every 6 to 12 months after ESWL. The results show, 162 (49. 7% ) were stone-free in 1 month, and 75 cases (23.0%) became stone-free in 1 to 96 months (mean 21 month ) after ESWL, the total stone free rate was 72. 7%,while, in the 32 patients with stones＞2. 0 cm in diameter, only 10 cases (31. 3% ) were stone-free. In conclusion, ESWL was the first choice for lower pole stone＜2.0 cm in diameter.
出处
《临床泌尿外科杂志》
1998年第4期156-158,共3页
Journal of Clinical Urology
