ESWL治疗上尿路结石的远期复发率  

Long-term recurrence rate in the treatmnet of urethral stone with ESWL

作　　者：邓武昌[1] 刘洋[1] 蔡百和[1] 彭明轩[1] 汪汉民[1] 

机构地区：[1]河南省漯河市第三人民医院泌尿外科,462000

出　　处：《北京医学》2000年第1期36-38,共3页Beijing Medical Journal

摘　　要：目的　探讨体外震破碎石 (ESWL)术后尿石症的远期复发率及预防结石复发措施 ,对过去 10年已行ESWL治疗 ,无结石残留的 12 0 8例上尿路结石定期随访。方法　每半年进行一次ESWL治疗后复查 ,做KUB、BUS、尿常规、肾功能等检查 ,对出现患侧疼痛或怀疑有结石复发的病例 ,随时复查 ,随访时间平均 5 6 6年。结果　总复发率为 15 6 % (189/ 12 0 8) ,1、3、5年复发率分别为 4 %、9 4 %和 11 8% ,复发结石多位于肾下极 (下盏 ) ,以多发性肾结石较常见。结论　ESWL是治疗上尿路结石的理想方法 ,复发率低 ,强调了ESWL术后多饮水 ,坚持口服中西药物预防结石复发的重要性。Objective To study the Long term recurrence of urethral stone after ESWL operation and the treatment of preventing recurrence.Methods Following the 1 208 patients who were urethral residual stone free after extracorporeal shock.Wave lithetripsy (ESWL) in the past 10 years.Plain abdominal films excretory Urogram and KUB.BUS urine routine renal function were evaluated every 6 months for recurrent stone on the side of ESWL,patients who presented with colic pain or other complaints and who were suspected of having recurrent stone were also examined,all patients be prevent to recurrent stone by the integrate TCM WM.Results Overall,stones recurrent in 189 of 1 208 (15.6%),recurrent rate were 4%,9.8% and 11.8% after 1,3 and 5 years,respectively,there was a significant correlation between stone recurrence with multiple stones and also with pyuria after ESWL.Conclusion ESWL is a satisfactorial method in the treatment of urethral stone with low recurrent rate.

关 键 词：上尿路结石 体外振波碎石 复发率 

分 类 号：R691.4[医药卫生—泌尿科学]