体外冲击波碎石治疗输尿管结石疗效分析  

Efficacy of ESWL in the treatment of ureteral calculus

作　　者：张燕宾[1] 何家扬[1] 施国伟[1] 

机构地区：[1]上海复旦大学附属上海市第五人民医院泌尿外科,上海200240

出　　处：《现代泌尿外科杂志》2012年第1期64-66,共3页Journal of Modern Urology

摘　　要：目的总结体外冲击波碎石(ESWL)治疗输尿管结石的疗效。方法回顾性分析2009年1月至2011年4月期间ESWL治疗的272例输尿管结石碎石效果与结石的病程、大小及结石成分的关系。结果 272例结石碎石排净率为76.84%。其中病程小于60d与大于60d的病例碎石排净率分别为80.51%和56.09%(P<0.01)。结石直径小于1cm与大于1cm的病例碎石排净率分别为86.03%和59.14%(P<0.01)。一水草酸钙和二水草酸钙结石碎石排净率为77.78%和95.06%(P<0.01)。15例带双J管的病例碎石排净率20%。结论 ESWL仍然是一种治疗输尿管结石简单、实用的方法。ESWL治疗输尿管结石的疗效与结石的病程、大小、化学成分以及预先置入双J管等因素都有着密切的关系。Objective To summarize the efficacy of ESWL in the treatment of ureteral calculus.Methods The efficacy of ESWL with stone duration,size and ingredients of 272 patients with ureteral calculus who were treated in our hospital during Jan.2009 to April 2011 were retrospectively analyzed.Results The overall stone clearing rate was 76.84%.The stone clearing rates with the duration more than 60 d and less than 60 d were 80.51% and 56.09% respectively(P<0.01).The clearing rates with stone diameter less than 1 cm and more than 1 cm were 86.03% and 59.14% respectively(P<0.01).The clearing rates of calcium oxalate monohydrate and calcium oxalate dihydrate were 77.78% and 95.06%(P<0.01).The clearing rate of 15 cases with a double-J stent preventively placed was 20%.Conclusions ESWL remains a simple,practicable and efficient therapy for ureteral calculus.Its efficacy is related to stone duration,size and ingredients,as well as the preventive placement of double-J stent.

关 键 词：输尿管结石 体外冲击波碎石 结石成分 双J管 

分 类 号：R691.4[医药卫生—泌尿科学]