多方位体外冲击波碎石术治疗较大单纯肾盂结石疗效分析  

Analysis of the Effects of Multi-position for Treating Larger Simple Renal Pelvic Stone with Extracorporeal Shock Wave Lithotripsy

作　　者：桂西青[1] 黄建平[1] 王桂珍[1] 庄声洲[1] 冯旭升[1] 苗永青[1] 

机构地区：[1]中山大学附属第五医院泌尿外科,广东珠海519000

出　　处：《医学临床研究》2006年第2期218-220,共3页Journal of Clinical Research

摘　　要：[目的]提高体外冲击波碎石术（ESWL）治疗较大肾结石的疗效.[方法]86例结石长径为（2.0～2.5）cm单纯肾盂结石患者随机接受多方位（M组）和单方位（S组）ESWL治疗,各方位治疗43例.观察、比较2个方位组的治疗次数、冲击数、需特殊处理的输尿管石街和ESWL后 3个月结石排净率.[结果]治疗次数,M组[（1.65±0.61）次]少于S组[（2.21±0.64）次]（P〈0.01）;每个患者的冲击数,M组[（3 942±1571）次]少于S组[（5 384±1650）次]（P〈0.01）;需特殊处理的石街,M组（20.9%）低于S组（41.9%）（P〈0.05）;结石排净率,M组（88.4%）高于S组（69.8%）（P〈0.05）.[结论] ESWL治疗较大单纯肾盂结石,采取多方位冲击是减少并发症和提高疗效的一种有效方法.[Objective]To improve the curative effects of extracorporeal shock wave lithotripsy （ESWL） on larger renal stones. [Methods]Eighty-six patients with simpLe renal peIvic stone of 2～2.5 cm in diameter were randomly treated by ESWL in multi position （M group） and single-position （S group）, each group consisting 43 patients. Number of sessions and number of shock waves per patient, Steinstrasses requiring special interventions and stone free rates were observed and compared in both groups. [Results]The number of sessions per patient in M group was less than in S group （1.65±0.61 vs 2. 21±0. 64, P 〈0.01）. The number of shock waves per patient in M group were less than in S group（3 942± 1 571 vs 5 384 ±1 650, P 〈0.01）. The steinstrasses required special interventions in M group were Lower than in S group （20.9 % vs 41. 9%, P 〈0.05）. The stone free rates 3 months after ESWL in M group were higher than in S group （88.4% vs 69.8%, P 〈0.05）. [Conclusion] The multi position for ESWL is a very effective way to decrease the complications and increase the efficacies for treating patients with larger simple renal pelvic stone.

关 键 词：肾结石/治疗 碎石术 

分 类 号：R692.4[医药卫生—泌尿科学]