肾结石两种ESWL碎石方法的对比研究

Kidney ESWL two methods of comparative study of gravel

目的分析和研究ESWL两种碎石方法治疗肾结石的排石情况。方法肾结石病例1 000例,ESWL前B超或彩超、IVU、KUB、CTU等影像学检查明确本病且排外结石以下尿路有梗阻存在者,使用不同定位、碎石方法ESWL后观察结石排空或残留、甚至引起同侧输尿管石街的发生率。结果不同大小的肾结石采用两种不同的ESWL碎石方法治疗后发生结石残留和输尿管石街的发生率有明显差异。结论肾结石直径<1.5 cm者,采用结石中心定位、一次性碎石方法进行ESWL治疗较好;肾结石直径≥1.5 cm者,采用结石边缘定位、少量、分次碎石方法进行ESWL治疗较好。

Objective to analyze and study ESWL two treatment of gravel kidney stones.Methods of 1000 cases of kidney stones,ESWL before b-sonography or sufficiency,April CTU KUB,etc,and exclusive imaging clearly this stone urinary obstruction is under the existing positioning,gravel,use different ESWL method after observing calculi emptying or residue,even with the incidence of ureteral ShiJie side.Results of different size by using two different kinds of kidney ESWL rubble after treatment ShiJie ureteral stones and the incidence of have obvious difference.Conclusion the 1.5 cm in diameter(kidney stones center,positioning,one-time ESWL treatment method of gravel;Kidney stones,1.5 cm in diameter experiment.it using stone edge localization,a method for many times,gravel ESWL treatment is good.