B超定位在体外冲击波碎石治疗输尿管结石中的应用体会  

B-ultrasound guided treatment of ureteral calculi with extracorporeal shock wave lithotripsy

作　　者：符红霞[1] 李浩勇[1] 吴卫红[1] 梁培育[1] 

机构地区：[1]海南医学院附属医院泌尿外科,海南海口570102

出　　处：《海南医学院学报》2009年第7期780-782,共3页Journal of Hainan Medical University

基　　金：海南医学院科研基金资助学报项目(0020090059)~~

摘　　要：目的:探讨B超定位在体外冲击波碎石(ESWL)治疗输尿管结石的临床价值。方法:回顾性分析1999年6月～2008年12月运用WD-ESWL91型和HK.ESWL-Vm型碎石机在B超定位下对681例输尿管结石进行碎石治疗的临床资料,并观察治疗过程,电压,冲击次数,声像图特点等情况。结果:681例输尿管结石中,一次性碎石成功171例(25.1%),复震292例(42.9%),碎石失败218例(32.0%),有效率为68.0%。结论:B超定位准确、安全、无辐射,是ESWL治疗输尿管结石定位的主要方法之一。Objective： To investigate the clinical value of treating ureteral calculi with extraeorporeal shock wave lithotripsy under the guidance of B-ultrasound. Methods. Clinical data of 681 eases of ureteral calculi that underwent extraeorporeal shock wave lithotripsy operation （WD-ESWL91 or HK. ESWL-Vm） under the guidance of B-ultrasound were retrospective analyzed. Related information such as voltage, shock times and the B-ultrasound images were also analyzed. Results： With a total effective rate of 68.0% , 171 out of the 681cases had calculus crushed after one treatment （25.1% ）, 292 cases （42.9%） underwent subsequent treatment and 218 eases （32.0%） failed. Conclusion. As a safe, accurate method which is also free of radiation, B-ultrasound is a prefenced method for localization in the treatment of nreteral calculi with extracorporeal shock wave lithotripsy.

关 键 词：输尿管结石 体外冲击波碎石 超声检查 

分 类 号：R693.4[医药卫生—泌尿科学] R445.1[医药卫生—外科学]