螺旋形双J管在体外冲击波治疗复杂输尿管结石中的应用  

The application of spiral Double-J stent in the treatment of complicated ureteral calculi with ESWL

作　　者：孙颖浩[1] 王林辉[1] 廖国强[1] 许传亮[1] 戚晓升[1] 高旭[1] 杨庆[1] 邱镇[1] 钱松溪[1] 

机构地区：[1]第二军医大学附属长海医院泌尿外科,上海200433

出　　处：《中华泌尿外科杂志》2002年第6期338-339,共2页Chinese Journal of Urology

摘　　要：目的　探讨螺旋形双J管在复杂输尿管结石ESWL中的应用价值。　方法　对 97例复杂性输尿管结石患者ESWL术前分别放置普通双J管 (对照组 4 5例 )和螺旋形双J管 (治疗组 5 2例 ) ,观察比较ESWL疗效。　结果　对照组平均ESWL次数为 4 .2次 ,治疗组为 3.8次 (P <0 .0 5 )。对照组结石一次粉碎率 2 0 .0 % ,治疗组 2 3.1% (P <0 .0 5 )。对照组平均排石时间为 10 .5周 ,治疗组为 8.5周 (P <0 .0 1) ,两组比较差别均有显著性意义。Objective To evaluate the use of spiral Double J stent in the treatment of complica ted ureteral calculi with extracorporeal shockwave lithotripsy (ESWL). Methods Spiral Double J stent was inserted in 52 patients with complicated ureteral calculi before ESWL,and the conventional Double J stent was inserted in 45 patients as control. Results In the control group,the number of ESWLprocedures was 4.2,while in spiral Double J stent group,it was 3.8( P <0.05).The fragmentation rates with a single procedure was 20.0% in control group and 23.1%( P <0.05) in the spiral Double J stent group.The average stoneclearance time was 10.5 weeks in the control group and 8.5 weeks( P <0.01) in spiral Double J stent group. Conclusions The spiral Double J stent has been better than conventional Double J stent in the treatment of complicated ureteral calculi with ESWL.

关 键 词：螺旋形双J管 输尿管结石 体外冲击波碎石术 治疗方法 

分 类 号：R693.4[医药卫生—泌尿科学]