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复式脉冲体外震波碎石治疗肾结石(附467例报告)

Treatment of renal calculi with twin pulse low-energy ESWL (report of 467 cases)

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【作者】 夏明义李逊张泽龙腾冯桂萍陈贵珍欧莉莉吴开俊

【Author】 XIA Ming-yi, LI Xun, ZHANG Ze, LONG Teng, FENG Gui-ping, CHEN Gui-zhen, OU Li-li, WU Kai-jun(Department of Urology, the Minimally Invasive Surgery Center, the First Affiliated Hospital of Guangzhou Medical College, Guangzhou, Guangdong 510230, P.R.China)

【机构】 广州医学院第一附属医院微创外科中心泌尿外科广州医学院第一附属医院微创外科中心泌尿外科 广东广州510230广东广州510230广东广州510230

【摘要】 目的探讨复式脉冲HB-V型低能量体外碎石机治疗肾结石的治疗效果及并发症。方法采用复式脉冲HB-ESWL-VG型低能量碎石机治疗直径<2.0 cm的各类肾结石467例,治疗工作电压3~9 kV,平均冲击次数2 300次。结果467例肾结石患者中,上中盏结石排净率89.5%,复打率为13.2%;下盏结石的排净率81.6%,复打率为17.4%。肾盂结石粉碎率98.6%,排净率92.9%,复打率5.7%。结论复式脉冲低能量ESWL治疗肾结石,具有治疗成功率高,复打率低的优点。

【Abstract】 Objective: To evaluate the efficiency and complications of twin pulse low-energy lithotripter on renal calculi. Methods: Patients of renal calculi whose stones was < 2.0 cm in diameter were treated by twin pulse low-energy lithotripter from Sep 2001 to Apr 2003 in our hospital, treatment voltage was 3~9 Kv, the average number of shock wave was 2 300. Results: Of 467 renal calculus cases, the stone-free rate after ESWL of upper-pole and midpole calyceal stones was 89.5% and re-treatment rate was 13.2%; the stone-free rate of low-pole calyceal stones was 81.6% and re-treatment rate was 17.4%; that of renal pelvic calculi was 92.9% and 5.7%. Conclusions: The treatment of renal calculi with twin pulse low-energy lithotripter is effective method with less re-treatment.

【关键词】 复式脉冲体外冲击波碎石术肾结石
【Key words】 twin pulseESWLrenal calculi
  • 【文献出处】 中国内镜杂志 ,China Journal of Endoscopy , 编辑部邮箱 ,2004年12期
  • 【分类号】R692.4
  • 【被引频次】1
  • 【下载频次】38
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