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[鹿角形结石的体外冲击波碎石术]

[Extracorporeal shock wave lithotripsy of staghorn stones].

作者信息

Guo Y L

出版信息

Zhonghua Wai Ke Za Zhi. 1989 Mar;27(3):155-6, 188-9.

PMID:2776557
Abstract

One hundred forty-seven cases of staghorn calculi were treated with HM-3 Dornier lithotripter. The stone located at the right tract in 71, the left 65 and 11 bilaterally. Fifteen cases had stones larger than 6 cm in length, the biggest size was 11 cm in diameter. Majority of the patients in this group underwent multiple ESWL treatment. PCN was needed in only 4 cases. For safety reason, The interval between two ESWL treatment should be more than 1 week. All stones were completely fragmented and discharged no longer than 4 months. The overall procedural complications were relatively low and not severe. Hematuria occurred in all the patients, fever in 8.8% and pain in 12.2%. The results of this study indicate that the majority of staghorn stone could be treated satisfactory with ESWL.

摘要

147例鹿角形结石患者接受了HM - 3多尼尔碎石机治疗。结石位于右侧尿路71例,左侧65例,双侧11例。15例结石长度大于6 cm,最大直径为11 cm。该组大多数患者接受了多次体外冲击波碎石(ESWL)治疗。仅4例需要经皮肾造瘘术(PCN)。出于安全考虑,两次ESWL治疗之间的间隔应超过1周。所有结石在4个月内完全破碎并排出。总体手术并发症相对较低且不严重。所有患者均出现血尿,8.8%出现发热,12.2%出现疼痛。本研究结果表明,大多数鹿角形结石用ESWL治疗效果满意。

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