B超定位体外冲击波碎石治疗肾盏结石1362例临床分析

THERAPEUTICAL EFFECT OF ESWL WITH B-ULTRASOUND ORIENTATION ON RENAL CALYCEAL STONES

目的探讨治疗肾盏结石的有效微创治疗方法。方法对2004年1月—2009年12月应用B超定位体外冲击波碎石(ESWL)治疗的肾盏结石1362例(肾上盏178例,肾中盏311例,肾下盏873例)进行回顾性分析。结果肾上盏结石排净率87.08%,肾中盏结石86.17%,肾下盏结石85.80%。结论 ESWL仍应作为肾盏结石治疗的首选方法,但如果结石位置靠近肾皮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 method of tiny injure on renal calyceal stones.Methods We retrospectively analyzed 1362 patients with renal calyceal stones (178 with upper calyceal stones,311 with middle calyceal stones,and 873 with lower calyceal stones) treated by ESWL with B-ultrasound orientation from January 2004 to December 2009.Results The stone free rates of upper,middle and lower calyceal stones were 87.08%,86.17% and 85.80% respectively.Conclusion ESWL is the first choice for patients with renal calyceal stones,but the PCNL or Ureteropyeloscopy lithotripsy is the fine choice for the patients with the position of renal calyceal stone close to cortical substance.