玉溪市某三甲医院冲击波治疗泌尿系结石效果分析

Effect Analysis of Extracorporeal Shock Wave Lithotripsy for Urinary Stones in a tertiary-level Hospital of Yuxi City

目的:分析冲击波治疗泌尿系结石的效果。方法:回顾性分析玉溪市人民医院2001年11月至2016年12月采用冲击波治疗泌尿系结石患者的部分临床资料。结果:共7 779例泌尿系结石患者接受了冲击波碎石治疗,其中85.87%(6 680/7 779)为输尿管结石。结石排净率为89.50%(6 962/7 779),仅6例(0.08%)发生肾周脓肿,其中5例经保守治疗痊愈。37.00%(2 878/7 779)的患者治疗1次后排净,51.78%(4 028/7 779)的患者治疗2次后排净,经3次治疗后排净的患者占0.72%(56/7 779),其余10.50%(817/7 779)的患者疗效不佳(结石未排出或3次治疗仍未排净)。结论:冲击波碎石疗法安全有效,尤其针对输尿管结石,值得进一步临床推广。

Objective： To analyze the effect of ESWL for the treatment of urinary stones. Methods： A retrospective analysis was made on the clinical data of the urinary stones patients who undelavent extracorporeal shock wave lithotripsy in People＇s Hospital of Yuxi City from November 2001 to December 2016. Results： 7 779 patients with urinary stones had received ESWL, of which 85.87% （6 680/7 779） had ureteral stones. In all cases, the clean-up rate of stone was 89.50% （6 962/7 779）. There were 6 patients （0.08%） who got perinephric abscess complication and 5 of them got cured after receiving expectant treatment. 37.00% （2 878/7 779） patients were cured after the first ESWL treatment, and 51.78% （4 028/7 779） received twice before cured. 0.72% （56/7 779） cured patients experienced three times. The rest 10.50% （817/7 779） patients had unsatisfactory curative effect （the stones were not discharged or not discharged completely after the third ESWL treatment）. Conclusion： ESWL is safe and effective, especially for ureteral stones and worthy of further clinical promotion.