体外冲击波碎石术治疗双J管附壁结石体会(附4例报道)

目的探讨体外冲击波碎石治疗对双J管附壁结石导致拔管困难的作用。方法经超声确诊双J管附壁结石导致拔管困难患者4例,透视下定位找出固定点,用液电式体外冲击波碎石机对相应部位重点治疗。结果 3例患者顺利拔管,1例患者因双J管留置时间过长,附壁结石范围较广而碎石治疗失效。结论确诊附壁结石导致拔管困难患者,用体外冲击波碎石治疗效果显著。

Objective To explore the action of extracorporeal shock wave lithotripsy therapy on difficult extubation of double J tube stones attached to the wall. Methods Four cases with difficult extubation lead by double J tube stones attached to the wall diagnosed by the ultrasound, were found the fixed point under fluoroscopic localization, used liquid piezoelectric extracorporeal shock wave lithotripsy in corresponding parts focus on the treatment of. Results Three patients were extubated smoothly, 1 patient＇treatment was failure because of double J tube indwelling time was too long, the range of stones attached to the wall was wide. Conclusion The patients with difficult extubation caused by attached stones can achieve significant effect with exlracorporeal shock wave lithotripsy therapy.