碳酸氢钠联合ESWL治疗双J管末端尿酸结石1例报告并文献复习

Treatment of sodium bicarbonate combined with extracorporeal shock wave lithotripsy for renal uric acid stone and review of the literature

目的:探讨采用1.5%碳酸氢钠溶液联合ESWL治疗尿酸结石的疗效。方法:采用ESWL联合输尿管导管逆行插管后持续灌注1.5%碳酸氢钠溶石治疗1例43岁双肾尿酸结石男性患者。结果:治疗1周后,尿酸结石完全消失,双J管顺利拔出,无逆行感染。结论:1.5%碳酸氢钠溶液联合ESWL治疗尿酸结石疗程短,费用低,疗效确切,是一种治疗尿酸结石快速、安全和有效的治疗方法。

Objective：To investigate the treatment effects of 1.5% sodium bicarbonate combined with extracorporeal shock wave lithotripsy（ESWL） for renal uric acid stone. Method：A single case of renal uric acid stone was report, a 43-year-old male patients with bilateral renal uric acid stone, and extremity of bilateral double J tube formed uric stone. Patient was treated by ESWI. and 1.5 ~ sodium bicarbonate dissolution therapy. Result：All uric acid stone disappeared without any retrograde infection, bilateral double J tube were extracted successfully after a week. Conclusion：This method is perfect for renal uric acid stone. It might also served as an optimal treat proce- dure of sodium bicarbonate combined with ESWL for renal uric acid stone.