体外震波碎石治疗上尿路结石影响因素分析.pdfVIP

344 西部医学 2008年3月第2O卷第2期 Med J West China，March 2008，Vo1．20，No．2 体外震波碎石治疗上尿路结石影响因素分析 杨 敏，李才华，孙光荣，陈守芳，杨福兰，文必轩 (广安市广安区中医院，四川 广安 638000) 【摘要】 目的 探讨体外震波碎石术治疗上尿路结石疗效影响因素，为临床提供病例选择依据。方法 采用MJ- 108C型水囊式体外震波碎石机治疗上尿路结石1287例，分析结石大小、数量等疗效影响因素。结果 肾孟结石与输尿 管结石治愈率相近，直径小于2 cm的结石和单发结石疗效更优。无严重并发症。结论 体外震波碎石术治疗上尿路结石 安全可靠，可作为直径小于2 cm上尿路结石的首选治疗方法。 【关键词】 体外震波碎石术； 泌尿系结石； 上尿路结石 【中图分类号】 R693 ．4；R692．9 【文献标识码】 A 【文章编号】 1672-3511(2008)02·0344·02 Clinic value of extracOrpOreal shock wave lithotripsy for upper urinary stones YANG Min，LI Cai-hua，SUN Guang-rong，et al (Department ofSpecial Diagnosis，Traditional Chinese Medicine Hospital ofGuangyuan，Guangyuan 638000,Sichuan，China) [Abstract] Objective To investigate the clinic value of extracorporeal shock wave lithotripsy(ESWL)for upper urinary tract stones．Methods 1287 patients with 1363 upper urinary stones were treated using MJ-108C Lithotripter． The follow．up protocols included the success rate and complications of ESWL in the treatment of upper urinary stones． Results The overall success rate of ESWL was 95．4 (1228／1287)．The Success rates for pyelic stone and ureteral stone were 90．2 (396／439)and 98．1 (832／848)respectively．The success rate of ESWL for upper urinary stones smaller than 2cm in diameter was higher than those larger than 2cm in diameter．No serious complications occurred． Conclusion ESWL provides an efficient and safe treatment tO patients with upper urinary stones．It may be the first choice for treatment of upper urinary stones less than 2cm in diameter． [Key words] Extracorporea1 shock wave lithotripsy； Urinary stones f Upper urinary stones 体外震波碎石(Extrocorporeal Shock wave kv，冲击频率为55次／min，500~2500次／例。复碎者， Lithotripsy，ESWL)已成为治疗泌尿系结石的常用方 间隔1周以上。 法。为探讨影响 ESWL疗效因素，回