ESWL治疗尿路结石的影响因素及疗效评价

Clinical evaluation of efficiency and complications in ESWL therapy of urolithiasis

目的 :探讨进一步提高体外冲击波碎石术 (ESWL )的疗效及减少并发症的方法。方法 :回顾性总结10年来 5 140例 ESWL治疗成功的经验及存在的问题。结果 :ESWL前未作尿、血、肝功能及专科等常规检查可导致严重并发症 ;作低能及急诊 ESWL治疗疗效满意。结论 :要减少并发症 ,提高疗效 ,ESWL前常规检查不可忽视 ;肾盂肾盏的解剖结构、类型及患者健康等有关因素易影响结石排净率。

Purpose:To further improve the therapeutic results of ESWL and to reduce the complications of ESWL.Methods: Clinical materials of 5 140 cases of patients with urinary calculi underwent ESWL from 1989 to 1999 were analyzed retrospectively.Results: Ignorance of the routine examination in urine, blood, hepatic function and specialization etc, the serious complications may be produced by ESWL. Low energy and emergency ESWL have obtained satisfactory results.Conclusions:Every routine examination is essential to secure the patient to get satisfactory therapeutic result from ESWL and prevent the complication from occurring. Complete discharge rate of stones was affected by the tissue structure and type of the renal pelvis and calyces, beside the site of stones.