ESWL治疗输尿管结石2615例体会及治疗方案的现代选择(1)
【摘要】目的探讨输尿管结石的有效治疗方法。方法对2004年1月至2009年10月应用B超定位体外冲击波碎石术(ESWL)治疗的2615例输尿管结石患者的资料进行回顾性总结。结果2615例输尿管结石碎石总成功2493例(95.33%),其中一次成功者2137例(85.72%)。有效者97例(3.71%);无效者25例(0.96%)。无严重并发症。结论ESWL仍应作为治疗输尿管结石的首选方法,但对合并输尿管病变的宜优先选择输尿管镜腔内碎石(URS)或经皮肾取石术(PCNL)。【关键词】输尿管结石;体外冲击波碎石术
The experiences of ESWL on ureteral calculi andthe modern selection of cure design
LI Jian-ming,LIANG Jing,LI Dong-ming.Department of Urology,The People’s Hospital of Gaozhou,Guandong,Gaozhou 525200,China
【Abstract】ObjectiveTo explore the sffective method on treat ureteral calculi.Methods2615 cases of ureteral calculi treated with B-Ultrasound orientation ESWLfrom January 2004 to October 2009 were studied retrospectively.ResultsThe calculi fragmentation rate was 95.33%(2493/2615),81.72%(2137/2493)of whichbeingfragmented on the fist treatment session.The defective rate was 3.71%(97/2615),and the ineffective rate was 0.96%(25/2615),no serious syndrome occurred.ConclusionESWL is the treatment of the first choice for ureteral calculi,but the URS or PCNL is the fine choiceif the ureteral arised diseases. ......
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