B超定位体外冲击波碎石术治疗尿路结石20625例临床报告  

Clinical reports of 20 625 cases of B ultrasound-guided ESWL for urinary stones

作　　者：余建华[1] 丁建文[1] 徐友明[1] 吴中华[1] 刘进[1] 陈侃[1] 徐艳红[1] 

机构地区：[1]武警湖北总队医院泌尿外科,武汉430061

出　　处：《中华泌尿外科杂志》2012年第8期584-586,共3页Chinese Journal of Urology

摘　　要：目的总结B超定位ESWL治疗尿路结石的临床经验。方法回顾性分析1995年8月至2011年7月采用B超定位电磁冲击波体外碎石一一体机治疗的20625例尿路结石患者的临床资料。肾结百8659例，输尿管结石11712例，膀胱结石254例。阴性结石1965例。结果结石总粉碎率97．04％（20014／20625），其中肾结石粉碎率96．27％（8336／8659），输尿管结石粉碎率97．56％（11426／11712），膀胱结石粉碎率99．21％（252／254）。术后3个月结石总排净率91．69％（18912／20625），其中肾结石排净率86．63％（7501／8659），输尿管结石排净率95．32％（11164／11712），膀胱结石排净率97．24％（247／254）。阴性结石总粉碎率为97．91％（1924／1965），术后3个月排净率为94．40％（1855／1965）。结论B超定位ESWl．治疗尿路结石安全有效，但需要严格掌握其适应证，以提高治疗效果。Objective To summarize the clinical experience of ESWL under B ultrasound guidance in treatment of urinary stones. Methods The clinical data of 20 625 patients who underwent B ultrasound-guided ESWL between August 1995 and July 2011 were retrospectively analyzed. Of the stones, 8659 cases were in the kidney, 11 712 cases were in the ureter, and 254 cases were in the bladder. And 1965 stones were radioparent. Results The stone fragmentation rates of the kidney, ureter and bladder stones were 96.27% （8336/8659） , 97.56% （ 11 426/11 712） and 99.21% （252/254） , respectively. The total stone fragmentation rate was 97.04% （20 014/20 625）. The 3-month stone-free rates of the kidney, ureter and bladder stones were 86.63% （7501/8659） , 95.32% （ 11 164/11 712） and 97.24% （247/254） , re- spectively. The total 3-month stone-flee rate was 91.69% （18 912/20 625）. The stone fragmentation rate of radioparent stones was 97.91% （1924/1965）, and the 3-month stone-flee rate was 94.40% （1855/ 1965）. Conclusion B ultrasound-guided ESWL is safe and effective in the treatment of urinary stones.

关 键 词：尿路结石 体外冲击波碎石术 B超定位 

分 类 号：R699[医药卫生—泌尿科学]