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[体外冲击波碎石术治疗双侧输尿管结石合并肾绞痛的急诊处理]

[Extracorpreal shockwave lithotripsy in treatment of bilateral ureteral calculi with renal colic during emergency].

作者信息

Liu Cheng-shan, Zhang Peng, Shao Zhi-qiang, Zheng Shao-bin

机构信息

Department of Urology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, China.

出版信息

Nan Fang Yi Ke Da Xue Xue Bao. 2010 Jan;30(1):189-90.

PMID:20118016
Abstract

OBJECTIVE

To evaluate the clinical efficacy of extracorporeal shockwave lithotripsy (ESWL) for bilateral ureteral stones with renal colic in emergency.

METHODS

We retrospectively analyzed the clinical data of 86 patients suffered with sudden renal colic due to bilateral ureteral stones and treated with ESWL between January 2005 and January 2009.

RESULTS

The success rate was 74.4% after a single ESWL session, and the overall success rate was 82.6%. Significant difference in stone length was observed between successful group and failed group (P<0.01). The stone position did not produce significant impact on the outcome of the treatment (P>0.05).

CONCLUSION

ESWL is an effective treatment modality in emergency for small-length and short-term obstruction bilateral ureteral stones with remal colic.

摘要

目的

评估体外冲击波碎石术(ESWL)治疗双侧输尿管结石并伴有肾绞痛的临床疗效。

方法

回顾性分析2005年1月至2009年1月间86例因双侧输尿管结石突发肾绞痛并接受ESWL治疗的患者的临床资料。

结果

单次ESWL治疗成功率为74.4%,总体成功率为82.6%。成功组与失败组结石长度差异有统计学意义(P<0.01)。结石位置对治疗结果无显著影响(P>0.05)。

结论

ESWL是治疗双侧输尿管结石并伴有肾绞痛、结石长度小且梗阻时间短的急症的有效治疗方式。

相似文献

1
[Extracorpreal shockwave lithotripsy in treatment of bilateral ureteral calculi with renal colic during emergency].[体外冲击波碎石术治疗双侧输尿管结石合并肾绞痛的急诊处理]
Nan Fang Yi Ke Da Xue Xue Bao. 2010 Jan;30(1):189-90.
2
[Emergency checklist: renal colic].
MMW Fortschr Med. 2009 Nov 5;151(45):39.
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[In situ extracorporeal shock wave lithotripsy for ureteral stones causing acute renal failure].原位体外冲击波碎石术治疗致急性肾衰竭的输尿管结石
Hinyokika Kiyo. 1994 Apr;40(4):291-4.
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[Percutaneous nephrostomy as a pretreatment in extracorporeal shockwave lithotripsy].
Zhonghua Wai Ke Za Zhi. 1992 Apr;30(4):226-7, 255.
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Evaluation of emergency extracorporeal shock wave lithotripsy for obstructing ureteral stones.急诊体外冲击波碎石术治疗输尿管梗阻性结石的评估
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[Monotherapy of ureteral calculi with extracorporeal shockwave lithotripsy].
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Prospective randomized evaluation of emergency extracorporeal shock wave lithotripsy (ESWL) on the short-time outcome of symptomatic ureteral stones.急诊体外冲击波碎石术(ESWL)对有症状输尿管结石短期疗效的前瞻性随机评估
Eur Urol. 2005 Jun;47(6):855-9. doi: 10.1016/j.eururo.2005.03.006. Epub 2005 Mar 17.
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Emergency extracorporeal shockwave lithotripsy as opposed to delayed shockwave lithotripsy for the treatment of acute renal colic due to obstructive ureteral stone: a prospective randomized trial.与延迟冲击波碎石术相比,急诊体外冲击波碎石术治疗输尿管梗阻性结石所致急性肾绞痛的前瞻性随机试验。
Minerva Urol Nefrol. 2018 Oct;70(5):526-533. doi: 10.23736/S0393-2249.18.03084-9. Epub 2018 May 14.
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[Treatment of ureteral lithiasis with shock waves].[冲击波治疗输尿管结石]
Arch Esp Urol. 2001 Nov;54(9):971-82.
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Predictors of successful emergency shock wave lithotripsy for acute renal colic.预测急性肾绞痛急诊冲击波碎石术成功的因素。
Urolithiasis. 2022 Aug;50(4):481-485. doi: 10.1007/s00240-022-01332-3. Epub 2022 Jun 3.

引用本文的文献

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Predictors of successful emergency shock wave lithotripsy for acute renal colic.预测急性肾绞痛急诊冲击波碎石术成功的因素。
Urolithiasis. 2022 Aug;50(4):481-485. doi: 10.1007/s00240-022-01332-3. Epub 2022 Jun 3.
2
Bilateral Simultaneous Ureteroscopic (BS-URS) Approach in the Management of Bilateral Urolithiasis Is a Safe and Effective Strategy in the Contemporary Era-Evidence from a Systematic Review.双侧同时输尿管镜检查(BS-URS)治疗双侧尿路结石:当代一项系统评价的证据表明其是一种安全有效的策略
Curr Urol Rep. 2017 Feb;18(2):11. doi: 10.1007/s11934-017-0660-4.