复式脉冲体外冲击波碎石术治疗上尿路结石  

Treatment of upper urinary stone with duplex pulse ESWL

作　　者：夏明义[1] 吴文起[1] 汤凤玲[1] 翁毓华[1] 余筱琳[1] 

机构地区：[1]广州医学院第一附属医院微创外科中心泌尿外科,广州510230

出　　处：《临床泌尿外科杂志》2012年第8期595-597,共3页Journal of Clinical Urology

摘　　要：总结复式脉冲ESWL治疗上尿路结石的临床资料。方法:回顾性分析6 939例行复式脉冲ESWL术患者的临床资料,肾结石5 381例,输尿管结石1 558例,其中单纯ESWL3 123例,输尿管镜术或经皮肾镜取石术后3 816例,结石大小4mm×4mm～26mm×27mm。工作电压3.0～8.5kV,肾结石平均冲击次数2 177次,输尿管结石平均冲击次数2 486次。结果:肾结石治愈率59.3%,输尿管结石治愈率68.49%,术后5857例(84.4%)出现血尿,1166例(16.8%)肾绞痛,135例(1.95%)高热,7例(0.1%)肾周围血肿,64例(0.92%)输尿管石街,其中9例输尿管镜取石,31例(0.45%)中止手术未完成治疗。结论:复式脉冲ESWL术创伤小、成功率高、严重并发症少,仍是处理上尿路结石主要的治疗手段之一。Objective：To summarize the clinical experience of upper urinary stone treated with duplex pulse ES WL. Methods：Retrospectively analyzed 6 939 cases with upper urinary stone treated with duplex pulse ESWL in our center. 5 381 cases was renal calculi,and 1 558 cases was ureteral calculi. 3 816 cases had residual stone,which were treated after ureteroseopy or percutaneous nephrolithotomy,and the other 3 123 cases were not deal with the stone by any operation before ESWL. The stone size were from 4 mm × 4 mm to 26 mm × 27 mm. The working voltage was 3.0 to 8.5 kV,The average number of impulse was 2 177 in Renal calculi,and 2 486 in ureteral calculi. Results： The cure rate of ESWL was 59.3 ~/00 in renal calculi,and 68.49 % in ureteral calculi. After ESWI.,5 857 cases （84.4%）were hematuria. 1 166 cases （16.8%） were Renal colic,135 cases（1. 95%） were hot fever. 7 cases （0. 1 % ）were renal subcapsular hematoma. 64 cases （0.92 % ）were Ureteral stone steps and 9 cases were treated by ureteroscopy. 31 cases （0.45 %）did not complete treatment. Conclusions： Duplex pulse ESWL is especially accu- rate,and the high success rate in upper urinary stone treatment. The tissue trauma is moderate and no serious side effect is observed. It is an indispensable minimally invasive treatment for ureteral calculi up to date.

关 键 词：上尿路结石 体外冲击波碎石术 复式脉冲 

分 类 号：R691.4[医药卫生—泌尿科学]