复式脉冲体外冲击波碎石术治疗上尿路结石

夏明义; 吴文起; 汤凤玲; 翁毓华; 余筱琳

复式脉冲体外冲击波碎石术治疗上尿路结石

- 广州医学院第一附属医院微创外科中心泌尿外科(广州, 510230)

详细信息

通讯作者: 夏明义,E-mail:gdgzxmy@163.com

中图分类号: R691.4

收稿日期: 2011-12-06

Treatment of upper urinary stone with duplex pulse ESWL

- Department of Urology, The Minimally Invasive Surgery Center, The First Affiliated Hospital of Guangzhou Medical College, Guangzhou, 510230, China

More Information

Corresponding author: XIA Mingyi, E-mail: gdgzxmy@163.com

Received Date: 06 December 2011

摘要

摘要: 总结复式脉冲ESWL治疗上尿路结石的临床资料。方法：回顾性分析6 939例行复式脉冲ESWL术患者的临床资料，肾结石5 381例，输尿管结石1 558例，其中单纯ESWL3 123例，输尿管镜术或经皮肾镜取石术后3 816例，结石大小4 mm×4 mm~26 mm×27 mm。工作电压 3.0~8.5 kV，肾结石平均冲击次数2 177 次，输尿管结石平均冲击次数2 486次。结果：肾结石治愈率59.3%，输尿管结石治愈率68.49%，术后5857例（84.4%）出现血尿，1166例（16.8%）肾绞痛，135例（1.95%）高热，7例（0.1%）肾周围血肿，64例（0.92%）输尿管石街，其中9例输尿管镜取石，31例（0.45%）中止手术未完成治疗。结论：复式脉冲ESWL术创伤小、成功率高、严重并发症少，仍是处理上尿路结石主要的治疗手段之一。
- 上尿路结石 /
- 体外冲击波碎石术 /
- 复式脉冲
Abstract: Objective: To summarize the clinical experience of upper urinary stone treated with duplex pulse ESWL.Methods: Retrospectively analyzed 6 939 cases with upper urinary stone treated with duplex pulse ESWL in our center.5 381 cases was renal calculi,and 1 558 cases was ureteral calculi.3 816 cases had residual stone,which were treated after ureteroscopy or percutaneous nephrolithotomy,and the other 3 123 cases were not deal with the stone by any operation before ESWL.The stone size were from 4 mm×4 mm to 26 mm×27 mm.The working voltage was 3.0 to 8.5 kV,The average number of impulse was 2 177 in Renal calculi,and 2 486 in ureteral calculi.Results: The cure rate of ESWL was 59.3% in renal calculi,and 68.49% in ureteral calculi.After ESWL,5 857 cases (84.4%)were hematuria.1 166 cases (16.8%) were Renal colic,135 cases(1.95%) were hot fever.7 cases (0.1%)were renal subcapsular hematoma.64 cases (0.92%)were Ureteral stone steps and 9 cases were treated by ureteroscopy.31 cases (0.45%)did not complete treatment.Conclusions: Duplex pulse ESWL is especially accurate,and the high success rate in upper urinary stone treatment.The tissue trauma is moderate and no serious side-effect is observed.It is an indispensable minimally invasive treatment for ureteral calculi up to date.
- upper urinary stone /
- extracorporeal shock wave lithotripsy /
- duplex pulse

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