ESWL治疗上尿路结石15年回顾(附3876例报告)

Review of 15-year experience in ESWL treatment of renal and ureter stones (report of 3 876 cases)

目的提高ESWL治疗上尿路结石的水平。方法对过去15年来3 876例上尿路结石碎石病例在病例选择、碎石、排石及碎石后并发症的防治等进行分析、总结。结果3 876例中,碎石成功3 703例,成功率95.5%,残石率3.5%,无效173例。并发有输尿管石街、泌尿系感染、感染中毒性休克、肝挫裂伤并失血性休克等较严重的并发症。结论ESWL仍为治疗上尿路结石的首选方法,疗效确切,但需重视病例的选择,尤其是复杂的肾结石的病例选择,碎石后并发症的防治应予高度重视。

Objective: To improve the treatment of renal and ureter stones with ESWL. Methods: 3 876 cases of renal and ureter stones, in the past 15 years, were analyzed and summarized, concered with the cases choose, crushed tones, removed urinary stones and complications prevention. Results: Of 3 876 cases, 3 703 cases were crushed successfully. Success rate is 95.5%, Remaining rate 3.5%. 173 cases were inffective, where severe complications happen. Such as ureterolith street, urinary system infection, endotoxin shock, liver laceration and hemorrhea shock etc. Conclusion: ESEL is still the first cure method in renal and ureter stones. But attention should be paid to the cases chosing, particularly complex renal stones and complications of crushed stones.