ESWL治疗肾结石的远期复发随访  

Long-term Recurrence of Kidney Stone after ESWL Treatment

作　　者：姜启全[1] 方祖军[2] 姚孟树[2] 张元芳[2] 

机构地区：[1]同济大学附属同济医院泌尿外科,上海200065 [2]复旦大学附属华山医院泌尿外科,上海200040

出　　处：《同济大学学报（医学版）》2004年第3期228-229,244,共3页Journal of Tongji University(Medical Science)

摘　　要：目的　探讨体外震波碎石术(extracorporeal shock wave lithotripsy,ESWL)术后肾结石的远期复发率及预防措施。方法　随访过去10年ESWL后2年以上的肾结石患者82例。行尿常规、尿路平片与静脉肾盂造影和/或泌尿系B超检查,与病史记录对照,明确有无结石复发。结果　82 例中有 21 例在 ESWL治疗后复发 1 次,总复发率25.6%,2年复发率为2.4%;3年复发率13.4%;5年复发率15.8%;8年复发率 23.2%;9 年复发率 25.6%。复发时间平均(5.42±2.30)年,复发结石以多发性肾结石较常见。结论　ESWL是治疗上尿路结石的理想方法,复发率低,多饮水是预防ESWL术后结石复发的关键。Objective To study the long-term recurrence of kidney stone after ESWL operation and its preventive measures.Methods 82 patients with kidney stone treated by extracorporeal shock wave lithetripsy (ESWL) were followed for more than 2 years in the past 10 years.Routine urine examination?KUB+IVP and/or BUS were evaluated.Recurrence of kidney stone was confirmed as compared with the previous history.Results Overall,stones recurred in 21 of 82 cases(25.6%) and its recurrence rates were 2.4%,13.4%,15.8%,23.2% and 25.6% after 2,3,5,8 and 9 years,respectively.The mean recurrenct time was (5.42±2.30)years.There was a significant correlation between stone recurrence and the presence of multiple stones.Conclusion ESWL is a satisfactory method in the treatment of kidney stone with low recurrent rate.Taking enough amount of water is necessary to prevent stone recurrence.

关 键 词：肾结石 体外震波碎石术 复发 

分 类 号：R692.4[医药卫生—泌尿科学]