Objective To investigate the appropriate treatment of infectious renal stones. Methods Between April 1999 and June 2006, 60 patients presented to our department with infectious renal stones. Twenty-nine patients were ...Objective To investigate the appropriate treatment of infectious renal stones. Methods Between April 1999 and June 2006, 60 patients presented to our department with infectious renal stones. Twenty-nine patients were treated by extracorporeal shock-wave lithortripsy(ESWL) only, 31 patients were given a combination therapy. Thirty-four males and 26 females were evaluated by routine urine tests including urine culture and sensitivity before ESWL treatments. The total number of shock waves varied from 1 600 to 2 800 and the energy levels ranged from 1 to 6 unit. Results The fragmentation after ESWL was 61.6%; 18.3% after 2 ESWL sessions, 8.3% after 3 ESWL sessions, 5.0% after 4 ESWL sessions, 3.3% after 7 ESWL sessions and 1.66% after 9 ESWL sessions. Only one (1.66%) patient failed and changed to open surgery. Conclusion ESWL is an effective and reliable treatment for patients with infectious renal stones. However, better effects and shorter treatment time is obtained by the combination therapy of ESWL with other therapy options.展开更多
目的：探讨经皮肾镜钬激光碎石术治疗海绵肾肾结石的临床疗效.方法：收集2005年9月~2013年11月间采用经皮肾镜钬激光治疗的海绵肾肾结石19例(36侧)患者的临床资料及治疗方法和结果进行回顾性分析.采用彩超引导定位穿刺的标准通道(F24)...目的：探讨经皮肾镜钬激光碎石术治疗海绵肾肾结石的临床疗效.方法：收集2005年9月~2013年11月间采用经皮肾镜钬激光治疗的海绵肾肾结石19例(36侧)患者的临床资料及治疗方法和结果进行回顾性分析.采用彩超引导定位穿刺的标准通道(F24)及微通道(F16)经皮肾镜碎石术,配合钬激光、气压弹道及超声碎石清石系统清除结石.结果：19例患者中,合并慢性肾功能不全8例.本组患者结石最大长径(21??4±5??2) mm.17例均分期对双侧肾行经皮肾镜碎石,其中单通道9侧肾,双通道22侧肾,三通道3侧肾；2例单侧海绵肾肾结石患者采用双通道碎石.19例36侧肾结石经上盏建立通道20个,经中盏36个,经下组肾盏10个.手术时间(68??4±15??1)mi n .所有病例的游离结石全部被粉碎及清除.术后血红蛋白含量较术前下降(12??3±5??7)g/L .围手术期无输血,术后发热发生率为10??5％(2/19),无失肾,无气胸或腹腔脏器损伤.19例平均随访11??2个月,7例有经尿道残余结石再次排出史,术后1、12个月8例合并肾功能不全者肾功能均有不同程度改善,1年后肾功能不全者无进一步进展；所有病例腰部症状、血尿及尿路刺激症状明显缓解.结论：经皮肾镜钬激光碎石术治疗髓质海绵肾结石有效、安全,能缓解临床症状,改善肾功能.展开更多
Objective To evaluate the effectiveness of shock wave lithortripsy （SWL） for treating patients with calculus after failure of endoscopic lithortripsy. Methods From Feb. 2006 to Mar. 2007, 60 patients presented to ou...Objective To evaluate the effectiveness of shock wave lithortripsy （SWL） for treating patients with calculus after failure of endoscopic lithortripsy. Methods From Feb. 2006 to Mar. 2007, 60 patients presented to our department with the upper urinary tract stones. Thirty-seven patients were renal stones and twentythree were ureteral stones. All patients with average stone burden of 1.5 cm were treated using a Dornier Compact S lithotripter. The total number of shock waves varied from 1 600 to 3 000 and the energy levels ranged from 1 to 6 units. Results For 37 renal stones, the fragmentation was 75. 67% （28cases） after one SWL session, 10.81% （4 cases） after2 SWL sessions, 5. 40% （2 cases） after 3 SWL sessions, and 2. 70% （1 case） after 4 SWL sessions. Two patients （5.40%） failed and changed to open surgery. For23 ureter calculus, the fragmentation was 82.60% （19cases） after one SWL session and l7. 40% （4cases） after 2 SWL sessions. Conclusion SWL is an effective and reliable treatment for patients with calculus after failure of endoscopic lithortripsy. However, it is very important for doctor to choose appropriate therapy. SWL is a remedy.展开更多
文摘Objective To investigate the appropriate treatment of infectious renal stones. Methods Between April 1999 and June 2006, 60 patients presented to our department with infectious renal stones. Twenty-nine patients were treated by extracorporeal shock-wave lithortripsy(ESWL) only, 31 patients were given a combination therapy. Thirty-four males and 26 females were evaluated by routine urine tests including urine culture and sensitivity before ESWL treatments. The total number of shock waves varied from 1 600 to 2 800 and the energy levels ranged from 1 to 6 unit. Results The fragmentation after ESWL was 61.6%; 18.3% after 2 ESWL sessions, 8.3% after 3 ESWL sessions, 5.0% after 4 ESWL sessions, 3.3% after 7 ESWL sessions and 1.66% after 9 ESWL sessions. Only one (1.66%) patient failed and changed to open surgery. Conclusion ESWL is an effective and reliable treatment for patients with infectious renal stones. However, better effects and shorter treatment time is obtained by the combination therapy of ESWL with other therapy options.
文摘目的：探讨经皮肾镜钬激光碎石术治疗海绵肾肾结石的临床疗效.方法：收集2005年9月~2013年11月间采用经皮肾镜钬激光治疗的海绵肾肾结石19例(36侧)患者的临床资料及治疗方法和结果进行回顾性分析.采用彩超引导定位穿刺的标准通道(F24)及微通道(F16)经皮肾镜碎石术,配合钬激光、气压弹道及超声碎石清石系统清除结石.结果：19例患者中,合并慢性肾功能不全8例.本组患者结石最大长径(21??4±5??2) mm.17例均分期对双侧肾行经皮肾镜碎石,其中单通道9侧肾,双通道22侧肾,三通道3侧肾；2例单侧海绵肾肾结石患者采用双通道碎石.19例36侧肾结石经上盏建立通道20个,经中盏36个,经下组肾盏10个.手术时间(68??4±15??1)mi n .所有病例的游离结石全部被粉碎及清除.术后血红蛋白含量较术前下降(12??3±5??7)g/L .围手术期无输血,术后发热发生率为10??5％(2/19),无失肾,无气胸或腹腔脏器损伤.19例平均随访11??2个月,7例有经尿道残余结石再次排出史,术后1、12个月8例合并肾功能不全者肾功能均有不同程度改善,1年后肾功能不全者无进一步进展；所有病例腰部症状、血尿及尿路刺激症状明显缓解.结论：经皮肾镜钬激光碎石术治疗髓质海绵肾结石有效、安全,能缓解临床症状,改善肾功能.
文摘Objective To evaluate the effectiveness of shock wave lithortripsy （SWL） for treating patients with calculus after failure of endoscopic lithortripsy. Methods From Feb. 2006 to Mar. 2007, 60 patients presented to our department with the upper urinary tract stones. Thirty-seven patients were renal stones and twentythree were ureteral stones. All patients with average stone burden of 1.5 cm were treated using a Dornier Compact S lithotripter. The total number of shock waves varied from 1 600 to 3 000 and the energy levels ranged from 1 to 6 units. Results For 37 renal stones, the fragmentation was 75. 67% （28cases） after one SWL session, 10.81% （4 cases） after2 SWL sessions, 5. 40% （2 cases） after 3 SWL sessions, and 2. 70% （1 case） after 4 SWL sessions. Two patients （5.40%） failed and changed to open surgery. For23 ureter calculus, the fragmentation was 82.60% （19cases） after one SWL session and l7. 40% （4cases） after 2 SWL sessions. Conclusion SWL is an effective and reliable treatment for patients with calculus after failure of endoscopic lithortripsy. However, it is very important for doctor to choose appropriate therapy. SWL is a remedy.
