摘要
目的报告电磁式体外冲击波（ＥＳＷＬ）原位治疗中段输尿管结石疗效。方法患者５４例，结石直径为５～２０ｍｍ，平均１１ｍｍ。ＥＳＷＬ治疗时经侧腹部入路并采用较低能量冲击技术。工作电压２～７档，发射次数每序列３０００～５０００次，治疗结果代入效率商公式测算。结果碎石治疗３个月内无石率为９６％，复震率３０％，效率商７４％。全部患者均未出现严重并发症。结论经侧腹入路和较低冲击能量的ＥＳＷＬ原位粉碎中段输尿管结石是一种安全而有效的方法，可以作为治疗该病的一线选择。
Objective To report the experience with in situ ESWL for patients with middle ureteral stones.HZMethods 52 patients suffering from stones with an average 11 mm (range 520 mm) in dimension were treated using modified Puigvert technique in prone position via the entry route of lateral abdomen.The patients received 3 0 005 0 00 shocks per session at the power setting ranged from 2 to 7. Results The stone free rate at 3 months was achieved in 96% patients retreatment was performed in 30% patients. The therapeutic results were calculated as efficiency quotient being 74%. No severe complications occured in all patients. Conclusions In situ ESWL for middle ureteral stone is safe and effective and may serve as the first line therapy.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1999年第7期438-439,共2页
Chinese Journal of Surgery
