ESWL of ureteral stones in the lower efficacy of the emergency treatment of 137 cases.docVIP

 PAGE \* MERGEFORMAT 7 ESWL of ureteral stones in the lower efficacy of the emergency treatment of 137 cases Of: Wang Qian, Rao large Pang, Chen Yinghe, He Youhua, Zhu Haibo [Keywords:] ureteral stones, ESWL, emergency Our hospital in October 2004 on December -2007 extracorporeal shock wave lithotripsy (ESWL) and the Western Cooperative for acute lower ureteral calculi incarcerated in the 137 patients with angina, and achieved good results, are as follows. 1 Clinical data 1.1 Clinical data The group of 137 patients, male and 101 patients, 36 females, aged 16 to 80 years, mean 36 years. Course of 1 h to 3 d, an average of 8 h.ESWL line spasm pain treatment ineffective or have not significantly alleviate the symptoms, All patients had typical symptoms of ureteral colic episodes and signs. KUB confirmed by B-ultrasound of left middle ureteral stones in 16 cases, 46 cases of lower ureteral stones, the right middle ureteral stones in 20 cases, 52 cases of lower ureteral stones, bilateral middle and lower ureteral stones 3 cases, 6 cases were negative for stones, ipsilateral kidney with mild or moderate water, above the ureter stones have different degrees of expansion. calculi minimum of 0.3 cm 0.5 cm, maximum 1.0 cm 1.5 cm. 1.2 Treatment By Shenzhen MZ-ESWL-V X-ray localization of electromagnetic lithotripter. Treatment routine intramuscular progesterone 40 mg. Position in the prone position both. Impulse voltage 14 ~ 17 kV, frequency 68 ~ 83 times / min, the impact of the number of 1 500 to 3 000. ESWL application of ofloxacin after treatment to prevent infection, anisodamine indomethacin suppository or symptomatic treatment, and with Nanjing Tong Ren Tang Pharmaceutical row of stone particles produced synergistic treatment, no .1 weeks after hospitalization review, if necessary, repeated shocks. Efficacy of standard 1.3 Success criteria for this group of patients were: emergency gravel, the perspective can be seen under the shadow