上尿路结石的急诊ESWL治疗  

Emergency ESWL for upper urinary tract stones

作　　者：梁丽莉[1] 郭应禄[1] 汤慧娣[1] 石声华 王文洁[1] 李炳魁[1] 

机构地区：[1]北京医科大学泌尿外科研究所,北京市西城区德外医院外科

出　　处：《中华泌尿外科杂志》1994年第5期347-349,共3页Chinese Journal of Urology

摘　　要：报告８４例上尿路结石患者经急诊ＥＳＷＬ后效果满意，结石一次治疗粉碎率为１００％，结石一周内排净率为１００％。９例急性无尿患者经急诊ＥＳＷＬ后均在１～１２ｈ内迅速排尿，肾功能得已恢复。５６例急性肾绞痛患者经急诊ＥＳＷＬ后绞痛解除，结石排净。１９例输尿管结石在输尿管镜取石过程中将结石推入肾脏后即行ＥＳＷＬ均获一次治疗成功。急诊ＥＳＷＬ是治疗尿石症引起的急性无尿、急性肾绞痛等患者的简单、有效方法之一，能获得立竿见影之效果。Emergency ESWL was carried out for 80 cases of upper urinary tract stones from March 1987 to the end of May 1994.The pulverizing rate with one session treatment was l00% and the complete discharging rate was also l00% in a week.9 cases with anuria was able to urinate 1￣12 hours after ESWL treatment and the renal function well recovered.The acute renal colic vanished after ESWL in 52 cases.The upper ureteral calculi in 19 cases were pushed back into the renal pelvis followed immediately by ESWL with satisfactory results.It was proposed that emergency ESWL has been an effective means for upper urinary tract stones with anuria or acute renal colic.

关 键 词：尿路结石 急症 ESWL 体外震波碎石 

分 类 号：R693.405[医药卫生—泌尿科学]