利尿在278例肾结石体外冲击波碎石中的应用

Application of diuresis in the extracorporeal shock wave lithotripsy of 278 cases with kidney stone.

目的 :探讨利尿在体外冲击波碎石中的作用。方法 :在B超定位、低能量ESWL时通过利尿来充盈肾脏集合系统治疗无肾积水的肾结石278例 (347侧 )。结果 :结石粉碎率100% ,一次碎石成功率95 4 %。副作用少 ,无严重并发症。结论 :体外冲击波碎石时辅以利尿法治疗无肾积水的肾结石 ,具有易于观察。

Objective:To study the role of diuresis in the extracorporeal shock wave lithotripsy(ESWL).Methods:In B-mobe ultrasnic localization,278 cases(347 sides) of kidney stone with no hydronephrosis were treated by the low-energy ESWL in diuresis for filling renal collecting system.Results:The comminution rate of calculi was 100%,the successful rate reached 95.4% at one time.No serious complication was found,with less side-effect.Conclusion:The extracorporeal shock wave lithotripsy assisted with the method of diuresis for treating the kidney sotne with no hydronephrosis is easy to observe the patient's condition and high-comminution rate,with less complications.[