鹿角形肾结石的ESWL治疗

自1991年5月以来,采用单纯ESWL治疗鹿角形肾结石35例。结石的形态为瘦小型及分叉状。结石最大8.5cm×3cm,最小3.5cm×1.5cm。采用分次粉碎法,结石均被完全粉碎。碎石后三个月排石率为77.1％(27/35)。29例发生输尿管石街,长度为2cm—5cm,未发生严重并发症。本文对鹿角形肾结石的碎石问题、碎石要点进行了讨论,选择适当类型的鹿角形肾结石分次ESWL是治疗成功的关键。

35 cases of staghorn renal calculi were treated by ESWL since May 1991. The size of the calculi ranged from 3. 5cm ×1. 5cm to 8. 5cm × 3. 0cm. The patients had multiple therapy of ESWL. Not serious complications occured. 3- month stone free rate was 77. 1% (27/35). 29 cases of post - ESWL stein-strasse were mandaged. The length of steinstrasse ranged from 2cm to 5cm. The management of staghorm renal calculi by ESWL were discussed.