体外冲击波碎石治疗尿路结石术后复发性结石  

ESWL for treatment of recurrent urinary tract stones.

作　　者：陈兴发[1] 卢乃会[1] 周星[1] 王小宁[1] 王明珠[1] 南勋义[1] 

机构地区：[1]西安交通大学第一医院泌尿外科,710061

出　　处：《现代泌尿外科杂志》2001年第2期26-27,共2页Journal of Modern Urology

摘　　要：目的 探讨尿路结石术后复发结石的原因及治疗。方法 1988年～1999年应用ESWL治疗尿路结石取石术后复发性结石88例。结果 结石粉碎率为100％,三个月结石排净率为93.1％。结石残留、梗阻因素、尿路感染和代谢紊乱是尿路结石术后复发的主要因素。结论 ESWL是治疗尿路结石术后复发性结石的有效方法,提出首次治疗结石应以消除结石,解除梗阻,防治感染,纠正代谢紊乱为原则。Objective To investigate the treatment and risk factors of recurrent stones after surgical removal. Methods From 1988 to 1999,88 cases of urinary tract stones recurred after surgical removal were treated with ESWL. Results The pulverizing rate of stones has been 100% the complete discharging rate being 93.1 % . three months after ESWL. Residual atone,obstruction, urinary tract infection and metabolic disorders were the main risk factors of stones recurred after surgical removal. Conclusions ESWL has been an effective method for the treatment of recurrent urinary tract stones, complete removal of the stone as well as correction of the obstruction, urinary tract infection and metabolic disordors were essential.

关 键 词：ESWL治疗 尿路结石 术后复发 体外冲击波碎石 代谢紊乱 取石术 结石残留 

分 类 号：R691.4[医药卫生—泌尿科学] R735.7[医药卫生—外科学]