摘要
为探讨不同部位上尿路阴性结石定位方法的选择，对98例上尿路阴性结石患者采用大剂量静脉尿路造影（IVU）和逆行插管（RGP）定位法行体外冲击波碎石术（ESWL），并根据其疗效进行比较。结果：20例肾阴性结石中，8例行IVU定位下ESWL碎石，治愈率为12．5％；12例行RGP定位下ESWL碎石，治愈率为8.3％；认为对此类患者不宜行X线定位碎石。58例输尿管上、中段明性结石中，28例行IVU定位碎石，治愈率为71．4％，结合RGP定位，治愈率达89．3％；单纯行RGP定位下ESWL碎石30例，治愈率为93．3％；认为对此类患者可先采用IVU定位碎石，如碎石失败则改用RGP定位。20例输尿管下段阴性结石中，行IVP定位碎石8例，治愈率为12．5％；行RGP定位碎石12例，治愈率为58．3％；认为对此类患者应首先考虑行RGP定位下碎石。
In order to select appropriate methods to locate opaque stones of upper urinary tract, 98 patients with opaque stones of upper urinary tract were treated with extracorporeal shock wave lithotripsy (ESWL) using retrograde urography (RGU) and intravenous urography (IVU) location. Of 20 cases of renal calculi, 8 cases were treated with ESWL using IVU location with 12. 5 % curative rate, 12 cases using RGU location with 8. 3% curative rate. It was considered that this kind of stone was not suitable for ESWL using X-ray location. Of 58 cases of upper and middle ureter stones,28 cases were treated with ESWL using IVU location with 71. 4% curative rate,using IVU in combination With RGU location with 89. 3% curative rate. It was suggested that this kind of stone was suitable for ESWL using IVU location firstly and replacing by RGU location if failed. Of 20 cases of lower ureter stones,8 cases were treated with ESWL using IVU location with 12. 5% curative rate, 12 cases using RGU location with 58.3% curative rate. It was concluded that this kind of stone was suitable for ESWL using RGU location firstly.
出处
《临床泌尿外科杂志》
1998年第4期163-165,共3页
Journal of Clinical Urology
关键词
上尿路结石
阴性结石
体外冲击波碎石
尿路造影
Upper urinary tract Opaque stone Extracorporeal shock wave lithotripsy Intravenous urography Retrograde urography
