体外冲击波碎石治疗内镜术后残留结石疗效分析  

Clinical effect of ESWL on residual calculi after endoscopic surgery

作　　者：黄子荣[1] 杨志坚[1] 刘肇华[1] 吴炳权[1] 陈敏坚[1] 庞程[1] 

机构地区：[1]广东省肇庆市第一人民医院泌尿外科,526040

出　　处：《中国实用医刊》2014年第21期17-18,共2页Chinese Journal of Practical Medicine

摘　　要：目的 探讨体外冲击波碎石治疗内镜术后残留结石的临床疗效.方法 回顾性分析132例（148侧）微创内镜术后残留结石经体外冲击波碎石治疗患者的临床资料.结果 第1次体外碎石结石成功排出71侧,其中肾结石43侧（39.8％）,输尿管结石28侧（70.0％）;第2次体外碎石结石成功排出52侧,其中肾结石40侧（37.0％）,输尿管结石12侧（30.0％）;第3次体外碎石结石均为肾结石,共23侧（21.3％）.总有效碎石率为98.65％（146/148）,排石周期4d～10周.2例治疗失败.结论 体外冲击波碎石是对腔镜术后残留结石治疗的一种经济、安全、有效的补充治疗方法。Objective To investigate the clinical effect of extracorporeal shock wave lithotripsy （ESWL） on residual calculi after endoscopic surgery.Methods The clinical data of 132 patients （148 sides） with residual calculi after endoscopic surgery underwent ESWL were retrospective analyzed.Results By first ESWL treatment,a total of 71 side stones were successfully discharged,including kidney calculi 43 sides （39.8％） of kidney calculi and 28 sides （70.0％） of ureteral calculi.By second ESWL treatment,a total of 52 sides calculi were successfully discharged,including 40 sides （37.0％） of kidney calculi and 12 sides（30.0％） of ureteral calculi.By third ESWL treatment,a total of 23 sides （21.3％） calculi were successfully discharged,all were kidney calculi.There were 2 cases of treatment failure.The total gravel rate was 98.65％ （146/148）,and the removing calculus cycle was 4 d ～ 10 weeks.Conclusions The ESWL is an economical,safe and effective complementary therapies on residual calculi after endoscopic surgery.

关 键 词：体外冲击波碎石 尿路结石 残留结石 

分 类 号：R699[医药卫生—泌尿科学]