摘要
目的 总结体外冲击波碎石术治疗急诊输尿管结石的经验 ,评价其应用价值。方法 本组 16 7例 ,输尿管上段结石 83例 ,中段结石 5 9例 ,下段结石 2 5例。采用美芝 JT- ESWL - 10 8A型超声波单向定位水囊式碎石机。术后配合抗生素及自制中成药治疗。结果 1周内排尽结石 132例 ,2周内排尽 2 7例 ,3周内排尽 8例 ,绝大多数患者经 ESWL治疗后绞痛都得到明显缓解。结论 输尿管结石嵌顿伴绞痛行 ESWL治疗利多弊少。发作时间越短 ,效果越佳 ;发作时间越长 ,碎石效果就不够理想。急性输尿管结石行 ESWL治疗是一种较为理想的方法。
Objective To evaluate the clinical application of extracorporeal shock wave lithotripsy(ESWL) in the treatment of acute ureteral lithiasis.Methods Extracorporeal shock wave lithotripsy was performed for 167 cases of acute ureteral lithiasis,including 83 cases of stone in upper ureter,59 cases of stone in medial ureter,and 25 cases in lower ureter.All the cases were subjected to antibiotic therapy and traditional Chinese medicine after ESWL.Results The stones in all the cases were discharged completely.There were 132 cases of stone discharged in one week,27 cases in 2 weeks,and 8 cases in 3 weeks.After the ESWL treatment,colic pain was released significantly in most cases.Conclusion There are more advantages than disadvantages of ESWL in the treatment of acute ureteral lithiasis.It could be taken consideration that ESWL is an optional therapy for acute ureteral lithiasis.
出处
《四川医学》
CAS
2001年第3期246-247,共2页
Sichuan Medical Journal
