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[体外压电冲击波碎石术治疗肾结石第一年的经验]

[Experience from the first year of treatment of renal calculi with extracorporeal piezoelectric shockwave lithotripsy].

作者信息

Jensen F S, Dørflinger T, Jensen K E, Krarup T, Walter S

机构信息

Aalborg Sygehus Nord, urologisk afdeling.

出版信息

Ugeskr Laeger. 1991 Jun 10;153(24):1712-5.

PMID:2058041
Abstract

The experience of the first year with piezoelectric extracorporeal lithotripsy is described. One hundred and eighty-eight patients commenced treatment of 194 renoureteric stone units (a total of 328 stones). Twelve per cent required analgesics during therapy. The median number of treatments was two (1-6) and median number of shock waves 4,200 (450-24,606). One hundred and twenty-three stone units had concluded treatment and control schedules at the follow up end date. After six months, 59% of the stone units were stone-free, while 17% had residual fragments up to 2 mm, and additional 15% had residual fragments between 2 and 6 mm. Only few and insignificant complications were observed. Extracorporeal shock wave lithotripsy by the Wolf Piezolith 2300 is a well-tolerated, effective, relative painless and not complicated treatment of renal stones, and an important part of modern treatment of staghorn- and ureteric stones.

摘要

本文描述了使用压电式体外冲击波碎石术的第一年经验。188例患者开始治疗194个肾输尿管结石单位(共328颗结石)。12%的患者在治疗期间需要使用镇痛药。治疗次数的中位数为2次(1 - 6次),冲击波次数的中位数为4200次(450 - 24606次)。在随访结束时,123个结石单位完成了治疗和对照方案。六个月后,59%的结石单位结石清除,17%有残留碎片,最大直径达2毫米,另有15%有残留碎片,直径在2至6毫米之间。仅观察到极少且不严重的并发症。使用Wolf Piezolith 2300进行体外冲击波碎石术是一种耐受性良好、有效、相对无痛且无并发症的肾结石治疗方法,也是鹿角形结石和输尿管结石现代治疗的重要组成部分。

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