摘要
采用ZL-ESWL-502型碎石机治疗上尿路结石405例。肾结石302例,总粉碎率为97.9％,1个月和3个月的排净率分别为41.7％和76.0％,其中肾下盏结石的1个月、3个月的排净率最低,分别为33.8％和69.1％。输尿管结石103例,原位粉碎率为96％,1个月和3个月的排净率分别为71.5％和82.1％。共失败12例（结石未粉碎）,占3.0％,均改行开放手术取石。作者对肾下盏结石、复杂性肾结石的ESWL治疗原则、输尿管插管在ESWL中的应用及适应证、ESWL的并发症和禁忌证等问题进行了讨论。
405 cases of the upper urinary tract stones were treated by ESWL with a domestic ZL-ESWL-502 lithotripter. The overall fragmentation rate and the stone-free rates after one month and three months of 302 cases of renal stones were 97. 9%,41. 7% and 76. 0% respectively, in which the stone-free rates of the stones in the lower renal calices after one and three months were lowest ,accouted for 33. 8% and 69. 1%. The fragmentation rate of 103 cases with ureteral stones for in situ ESWL was 96. l%,the stone-free rates after one month and three months were 71. 5% and 82. 1% respectively. ESWL failed in 12 cases which was carried out open surgery .constituting a 3. 0% failure rate. Noseri-ous complications occured in all cases becaused of abiding by indications strictly. The principles for ESWL.such as the stones in the lower renal calices and the complex renal stones,the application and indications of ureteral catherization in ESWL.the complications and their causes,the relation between the constituents of stones and the effect of ESWL as well as the contraindications of ESWL were discussed.
出处
《临床泌尿外科杂志》
北大核心
1994年第1期6-8,共3页
Journal of Clinical Urology
