体外冲击波碎石治疗肾盏结石的疗效观察

Observation on the effect of extracorporeal shock wave lithotrity on renal calyceal stone.

目的探讨治疗肾盏结石的有效微创治疗方法。方法对2004年应用B超定位体外冲击波碎石(ESWL)治疗的肾盏结石192例(肾上盏35例,肾中盏50例,肾下盏107例)进行回顾性分析。结果肾上盏结石排净率85.71%,肾中盏结石86%,肾下盏结石73.83%。结论ESWL仍应作为肾盏结石治疗的首选方法,但如果结石位置近肾实质处应优先选择经皮肾镜碎石术(PCNL)或软性输尿管肾镜碎石术。

Objective To explore the effective microinjury method for treatment of renal calyceal stones. Methods 192 patients with renal calyceal stones (35 with upper calyceal stones, 50 with middle calyceal stones ,and 107 with lower calyceal stones) treated by ESWL with B-Ultrasound orientation in 2004 were retrospectively analyzed. Results The stone free rates of upper, middle and lower calyceal stones were 85.71%, 86% and 73.83% respectively. Conclusion ESWL is the first choice for treatment of renal calyceal stones, but the PCNL or Ureteropyeloscopy lithotripsy is recommended if the position of renal calyceal stone is close to cortical substance.