体外震波碎石术在输尿管中下段结石的应用  

ESWL for Middle and Lower Ureteral Stones

作　　者：刘必胜[1] 李逊[1] 吴开俊[1] 李秉炘 曾茂香 

机构地区：[1]广州医学院第一附属医院泌尿外科

出　　处：《广州医学院学报》1989年第4期54-56,共3页Academic Journal of Guangzhou Medical College

摘　　要：本文报告我院自1988年9月至1989年5月采用体外震波碎石术治疗输尿管中下段结石共115例的经验和体会。其中行原位体外震波碎石93例,逆行插管下行体外震波碎石22例,成功率分别为84.0%和91.0%。作者等认为,根据患者病史、结石大小及术前静脉肾盂造影照片选择好病例,可以提高体外震波治疗的成功率。对于碎石失败的病例,若一周后仍无排石者,应及时改用输尿管镜取石。115 cases of middle and lower ureteral stones have been treated by ESWL at our hospital from Sept.1988 to May 1989.Among them,93 cases were treated in situ by ESWL,22 in catheterization by ESWL.The success rates were 84% and 91% respectively. We consider that the success rate in some selective cases treated by ESWL can be predicated on patient history,stone size and I.V.P.The ureteroscopy should be used in fail cases if the fragment of stone can not pass out within one week.

关 键 词：体外震波碎石 逆行插管体外震波碎石 输尿管中下段结石 

分 类 号：R[医药卫生]