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体外冲击波碎石机MFL - 5000治疗尿路结石的临床经验

[Clinical experience with extracorporeal shock wave lithotripsy MFL-5000 for urinary stone].

作者信息

Hatano Y, Miyagawa Y, Satho T, Nonomura H, Waki M, Muramatsu T, Hiraiea S, Yamada Y, Nishikawa E, Honda N

机构信息

Department of Urology, Aichi Medical University.

出版信息

Nihon Hinyokika Gakkai Zasshi. 1990 Dec;81(12):1811-6. doi: 10.5980/jpnjurol1989.81.1811.

Abstract

A Dornier MFL 5000, a new generation extracorporeal shock wave lithotripter, was installed in our hospital and the first Japanese clinical experience has been collected between July and November in 1989. We report our experience with the first 35 patients with 45 stones who were treated in 42 treatments using ESWL. We followed up 3 weeks. No invasive anesthesia was performed except 2 cases of epidural anesthesia. A double J catheter was installed in 2 patients, a ureteral catheter in 4 patients, and PNL was performed in 2 patients before ESWL. We did not use a PNL or a TUL in the postoperative treatment. In the 3 week followed up period, 29 patients (82.9%) were completely free from stone fragments. No serious complications were observed after ESWL. We conclude that the DORNIER MFL 5000 is effective for renal and ureteral stones without serious complications.

摘要

我院安装了新一代体外冲击波碎石机多尼尔MFL 5000,并于1989年7月至11月收集了首例日本临床经验。我们报告了使用ESWL对45块结石的35例患者进行42次治疗的经验。我们进行了3周的随访。除2例硬膜外麻醉外,未进行侵入性麻醉。2例患者安装了双J导管,4例患者安装了输尿管导管,2例患者在ESWL前进行了经皮肾镜取石术(PNL)。术后治疗未使用PNL或输尿管镜取石术(TUL)。在3周的随访期内,29例患者(82.9%)结石碎片完全清除。ESWL后未观察到严重并发症。我们得出结论,多尼尔MFL 5000对肾和输尿管结石有效,且无严重并发症。

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