上尿路结石ESWL治疗后再行开放手术原因分析（附37例报告）  

The cause of open operation following ESWL in urinary stone disease(Report of 37 cases)

作　　者：邓耀良[1] 陈坚[1] 甘俊常[1] 

机构地区：[1]广西医科大学附属第一医院泌尿外科

出　　处：《临床泌尿外科杂志》1996年第3期136-137,共2页Journal of Clinical Urology

摘　　要：报告上尿路结石经ＥＳＷＬ治疗后仍需行开放手术者３７例，占同期上尿路结石开放手术的１２．５％，其中肾切除１０例（２７％）。提示经ＥＳＷＬ治疗后再行开放手术时需行肾切除的可能性明显高于未经ＥＳＷＬ治疗者（Ｐ＜０．０５）。肾周粘连、输尿管增粗、僵硬是术中所见的主要病理改变，占４８．６％。并着重讨论了ＥＳＷＬ治疗后开放手术的原因，认为结石残留、ＥＳＷＬ对组织的损伤是造成ＥＳＷＬ后仍需开放手术的重要因素。cases of urinary stone disease needed still to treat with open operation after treatment with ESWL,with a rate of open surgecal skill of 12.5%, That 10(27%)of them were performed nephroctomy shown that nephroctomy was more common in patients who have been treated with ESWL,in which if they must be treated with open surgecal skill,than whose who have not.The mainly change in crude pathology found during operation were adhesion of kidney and dilatation and stiffness of ureter 48.6%, The causes for open operation following ESWL were discussed in paticular.

关 键 词：上尿路结石 开放手术 尿结石 体外震波碎石 

分 类 号：R693.405[医药卫生—泌尿科学] R691.4[医药卫生—外科学]