体外冲击波碎石术治疗尿路结石(附2725例报告)  

Extracorporeal Shock Wave Lithotripsy for Treatment of Urinary Tract Calculi (a Report of 2 725 Cases)

作　　者：陈刚[1] 李如昌[1] 顾卫星[1] 金伟[1] 汤中林[1] 

机构地区：[1]复旦大学附属金山医院泌尿外科,上海200540

出　　处：《中国临床医学》2005年第3期482-483,共2页Chinese Journal of Clinical Medicine

摘　　要：目的:探讨体外冲击波碎石术(ESWL)治疗尿路结石的有效性和安全性。方法:结合文献,回顾分析1993-2004年采用ESWL治疗尿路结石患者2725例,其中肾结石922例,输尿管结石1789例。膀胱结石14例。结果:随访3个月,结石排净率94.4%(2572/2725),结石残留109例(4.0%),16例无效(0.6%),改用手术治疗。结论:ESWL具有治疗成功率高、副作用少、无严重并发症的优点,是治疗尿路结石安全、有效的方法。Objective: To evaluate the efficacy and safety of extracorporeal shock wave lithotripsy (ESWL) in treatment of Urinary calculi. Methods: A total of 2 725 cases of urinary calcali treated with ESWL from 1993 to 2004 were analysed retrospectively and discussed with review of the literature. Of the 2 725 cases, 922 had renal calculi, 1 789 had ureteral calculi, 14 had bladder calculi. Results: At the 3-month follow-up, the overall stone free rate after ESWL was 94. 4%(2572/2725), 109(4.0%) cases had residual fragments. 16(0.6%) cases was failure then treated with open surgery. Conclusion:ESWL is highly efficient with high success rate, and it has less adverse effects and no severe complication, ESWL is a safe and effective treatment for urinary tract calculi.

关 键 词：尿路结石 体外冲击波碎石 

分 类 号：R691.4[医药卫生—泌尿科学]