输尿管结石的分类及临床治疗体会

Classification of ureteral stone and its clinical therapeutic effects.

报告２７５８例输尿管结石，按结石大小，停留时间长短及梗阻程度等分成３类。分别采用保守治疗、ＥＳＷＬ及手术治疗，收到较好的疗效。认为对输尿管结石进行分类采用相应的治疗，是更趋合理的疗法。强调，治疗输尿管结石的原则是解除梗阻，最大限度地保护肾功能。准确对位是碎石成功的关键，指出经３次ＥＳＷＬ治疗结石无效，应改为开放手术治疗。

In this paper,2758 cases of ureteral stones were treated by ordinariness,ESWL and surgery.The stones were grouped into three different categories according to the size of stone,the time of being locked at the site and the degree of obstruction.It was considered to be a more suitable treatment for the ureteral stones to be treated by group.The principles of treatment should be prompt release of obstruction,and to reserve renal functions as good as possible.The successful way for the ESWL is to face the right position.Surgery should be considered when ESWL failed for three times.