体外冲击波碎石治疗上尿路阴性结石的研究  

THE EXPERIENCE OF ESWL TREATMENT FOR NON-OPAQUE STONE OF THE UPPER URINARY TRACT

作　　者：杨宝龙[1] 鹿尔驯[1] 王廷基[1] 孟庆敏[1] 

机构地区：[1]海军总医院

出　　处：《解放军医学杂志》2001年第2期136-137,共2页Medical Journal of Chinese People's Liberation Army

摘　　要：探讨X线定位系统碎石机治疗泌尿系阴性结石的定位方法。应用国产HX90 2型碎石机 ,采用静脉尿路造影术 (IVU)和逆行尿路造影术 (RGU)定位法 ,X线双重定位碎石机行体外冲击波碎石术 (ESWL) ,治疗泌尿系阴性结石 6 3例 ,首次碎石治愈率为 87.3% (5 5 / 6 3)。观察上尿路不同部位阴性结石的碎石效果 ,首次碎石治愈率分别为 :肾阴性结石 40 % (2 / 5 ) ;输尿管上中段阴性结石 88.2 4% (30 / 34 ) ;输尿管下段阴性结石 95 .83%(2 3/ 2 4) ,疗效满意。提出了利用双束交叉X线定位碎石机 ,通过尿路造影协助 ,对阴性结石进行ESWL治疗时的几种定位方法 ,认为X线定位碎石机 ,只要在尿路造影协助下 ,治疗阴性结石可取得同样良好效果。In order to select appropriate methods to locate non opaque stones of the upper urinary tract, 63 cases with non opaque stones of the upper urinary tract were identified by using retrograde urography (RGU) and intravenous urography and then were treated with extracorporeal shock wave lithotripsy (ESWL). The curative rate of stones in a single procedure was 87.3%(55/63). In 5 cases of renal pelvic stones, in 34 cases of the upper and middle ureter stones and in 24 cases of the lower ureter stones, the curative rate of stones in a single procedure was 40%(2/5), 88.24%(30/34) and 95.83%(23/24), repectively. It is concluded that ESWL can still be useful to treat this kind of stones after being localized with the aid of RGU and IVU.

关 键 词：上尿路阴性结石 碎石术 尿路造影术 体外冲击波 

分 类 号：R691.4[医药卫生—泌尿科学]