摘要
本文报告体外震波粉碎膀胱结石14例,结石直径1.0～3.2cm,13例成功,1例失败,无严重合并症。文中对病例选择、术前准备、麻醉的应用、震间透视观察与结石粉碎标准及震间心电图监护等问题进行了讨论,认为震波治疗时膀胱处于半充盈状态是碎石成功的关键,提出体外震波碎石是治疗膀胱结石较理想的方法。
From June 1988 to July 1989, 14 cases of urinary bladder stone (1.0～3.2cm) were treated by extracorporeal lithotripsy with the JT—ESWL—Ⅱ lithotripter. Lithotripsy was successful in 13 cases and failed in 1 case. As a whole, no major complications occured.In the paper, the selection of cases, prelithotriptic preparation anesthesia application, intralithotriptic fluoroscopy observation and electrocardiographic monitoring as well as the standard sine of stone chip were discussed. The authors proposed that key of the success is that urinary bladder is in state of second filling. It is believed that extracorporeal shock wave lithotripsy is a safe, simple and effective procedure for urinary bladder stone.
关键词
膀胱结石
体外震波碎石
extracorporeal shock wave lithotripsy urinary bladder stone
