急诊体外冲击波碎石术治疗输尿管结石348例报告

Emergency extracorporeal shock wave lithotripsy of ureteral calculi report of 348 cases

目的:探讨急诊行体外冲击波碎石术?ESWL?治疗输尿管结石的临床效果,寻求急诊输尿管结石快速有效的治疗方法。方法:对348例急诊输尿管结石患者行ESWL碎石术,冲击能量6KV-8KV,冲击次数1000～3400次。结果:348例急诊输尿管结石患者,一次碎石后有94.3%肾绞痛症状明显缓解后消失,315例一次碎石成功,28例二次碎石后结石排空,5例二次碎石后无效改输尿管镜碎石。碎石排空率达98.56%。结论:急诊行ESWL治疗输尿管结石,碎石成功率高,能在短时间内有效缓解肾绞痛症状,可作为急诊输尿管结石首选的治疗方法。

Objective： Emergency ESWL for ureteral stones clinical results, for rapid and effective emergency ureteral stone treatment. Methods ：348 eases of acute ureteral stone lithotripsy ESWL patients, the impact energy 6KV - 8 KV, the impact frequency of 1000 - 3400 times. Results：348 cases of acute ureteral stone patients,94.3 % after the first gravel renal calie symptoms disappear after remission,315 patients with a stone success,28 patients stone free after the second stone, five eases of post -secondary gravel Invalid change URSL. Stone emptying rate was 98.56%. Condusion：Emergency ESWL for ureteral stones line,gravel high success rate, effective relief in renal colic symptoms within a short fime,ean be used as emergency treatment of choice for ureteral stones.