摘要
目的 :探讨体外震波碎石 (ESWL)治疗肾结石的有效性。方法 :应用上海HX 90 2碎石机治疗 1 2 6例肾结石 (直径为 0 5～ 2 .5cm)住院病人 ;部分病人在碎石前插入双 J管。结果 :结石直径在≤ 0 8,0 9～ 1 9,≥ 2cm ,其二月内的排出率分别为 53 3 % ,40 8% ,1 8 1 % ;总排出率为 45 6 %。并发症少见 ,1例肾包膜下血肿 ,采用保守治疗 ;1 5例肾绞痛及 5例“石街”形成 ,采用输尿管镜、再次碎石或保守治疗 ,结石完全排出。结论 :ESWL是治疗肾结石 (直径 <2cm)的有效方法。对大于 2cm的结石 ,应首先行开放手术或经皮肾镜碎石 (PCNL)
Objective: The aim of the study was to determine the effectiveness of extracorporeal shock wave lithotripsy(ESWL) therapy for renal calculi. Methods: 126 patients were treated with Shanghai HX 902 lithotriptor on an inpatient basis. The stone size varied from 0.5 to 2.5?cm. Some patients had a double J stent inserted prior to treatment. Results: The overall stone free rate in 2 months was 45.6%, whereas it was 53.3%,40.8% and 18.1% according to the stone size, ≤0.8,0.9～1.9 and ≥2?cm, respectively. Complications were rare, including 1 subcapsular hematoma formation, 15 renal colics and 5 stone streets, which were managed by conservative treatment or ureteral stenting or additional ESWL and resulted in complete stone clearance. Conclusion: ESWL therapy is a reasonable and effective method for renal stone, percutaneous nephrolithotripsy(PCNL) or open surgery should be considered for stones larger than 2?cm. [
出处
《湖南医科大学学报》
CSCD
2000年第2期159-160,共2页
Bulletin of Hunan Medical University
关键词
肾结石
体外震波碎石术
ESWL
kidney calculi
extracorporeal shock wave lithotripsy~*
therapeutic use
