体外冲击波碎石术治疗肾感染石  

Extracorporeal Shock Wave Lithotripsy for Infected Calculi of Kidny

作　　者：孙西钊[1] 陈承志[1] 王影[1] 熊晓明[1] 王群[1] 

机构地区：[1]南京大学医学院附属鼓楼医院泌尿外科,南京210008

出　　处：《现代泌尿外科杂志》1999年第1期27-29,共3页Journal of Modern Urology

摘　　要：作者采用体外冲击波碎石术连续性治疗72例肾感染石,观察其疗效。部分性鹿角结石69例,完全性鹿角结石3例.总共93枚,直径1.4～4.7cm,平均2.2 cm。在16例结石体积较大的患者中,术前15例放置双J管,1例放置Dormia支架、单次治愈者63.89％(46例),2次者19.44％(14例),3次者9.72％(7例),4次者2.78％(2例),5次者2.78％(2例),失败者1.39％(1例)。术后因尿路感染发热者9例,均用抗生素治愈。作者认为,采用体外冲击波治疗肾感染石是一种安全有效的方法。并侧重探讨了碎石过程中的定位技术和冲击方法以及有关尿路感染的预防和治疗。Seventy-two patients with infected calculi of kidny have been treated by extracorporeal shock wave lithotripsy(ESWL). there were 69 partial and 9 complete staghorn calculi among them, which had 93 calculi 1. 4~4. 7 cm in diameter (mean 2. 3 cm). Double J uretereal stents were applied of 15 patients with larger calculi and Dormia stent to 1 patient. A success rate of 63.89% (46 patients) was achieved in one session, 19. 44% (14 patients) in two sessions, 9. 72% (7 patients) in three sessions, 2.78% (2 patients) in four sessions, 2. 78 (2 patients) in five sessions. Failure rate was 1. 39% (1 patient). Eleven patients were complicated by fever owing to urinary tract infection after ESWL. ESWL is considered to be a safe and effective procedure for the treatment of infected calculi of kidny. The localization and shocking method during ESWL, and the prevention and treatment of related urinary tract infection were discussed.

关 键 词：肾结石 体外冲击波 碎石术 

分 类 号：R699[医药卫生—泌尿科学]