ESWL与体位排石治疗经皮肾镜碎石术后残余结石临床研究  

Clinical research of ESWL and posture calculus discharging in the treatment of residual calculus after percutaneous nephrolithotomy

作　　者：李钢[1] 张杨[1] 刘中文[1] 

机构地区：[1]绵竹市人民医院泌尿外科,618200

出　　处：《中国实用医药》2015年第6期37-38,共2页China Practical Medicine

基　　金：四川省卫生厅科研科研相关研究(项目编号:30462)

摘　　要：目的探讨和研究体外冲击波碎石(ESWL)结合体位排石治疗经皮肾镜碎石术后残余结石的临床疗效。方法 45例经皮肾镜碎石术后残余结石患者,均采用ESWL结合体位排石进行治疗,根据结石所在部位不同调整体位,治疗结束后统计疗效。结果本次45例患者首次ESWL治疗后结石全部粉碎,随访半年,无一例患者出现腰痛、血尿等症状,复诊结石排净率为97.8%。结论体外冲击波碎石结合体位排石能够有效提高残余结石排净率,针对残余结石部位不同进行体位调整是提高疗效的重要条件。Objective To explore and study the clinical effect of extracorporeal shock wave lithotripsy（ESWL） combined with posture calculus discharging in the treatment of residual calculus after percutaneous nephrolithotomy. Methods A total of 45 patients with residual calculus after percutaneous nephrolithotomy received ESWL combined with posture calculus for treatment. Their posture was adjusted according to calculus positions. Curative effects were summarized after treatment. Results All the 45 cases had complete calculus smash after the first time of ESWL. The follow-up for half a year showed that there were no symptoms as osphyalgia and hematuresis. The complete calculus discharging rate was 97.8% in the reexamination. Conclusion The combination of ESWL and posture calculus discharging can effectively improve complete calculus discharging rate. Adjustment of posture according to calculus position is an important condition for improving curative effect.

关 键 词：肾结石 体外冲击波碎石 体位排石 

分 类 号：R699.2[医药卫生—泌尿科学]