【摘要】 目的:总结孤立肾并发上尿路结石ESWL治疗的经验。方法:电压比非孤立肾者略低,JT-Ⅲ型机8～12kV,HB-V型机4～8kV;放电次数比非孤立肾者略少,Ⅲ型机1500～2000次,V型机3000～3500次;同时减慢冲击频率;间隔时间二周以上比非孤立肾者稍长。直径大于2cm或多发结石且颗粒较大者,先行经皮肾镜取石后残石再行ESWL,多发或直径大于1.5cm的结石留置双J管后再ESWL,梗阻引起急性肾功能减退者急诊ESWL或先行肾造瘘或逆行插管引流积水,肾功能基本恢复后再ESWL。结果:22例独肾结石除7例多发外,15例一次成功,6例输尿管结石除1例再碎石外,5例一次成功。结论:ESWL治疗孤立肾上尿路结石损伤小且疗效好。更多还原

【Abstract】 Objective:To review the experience by extracorporeal shock wave lithotripsy(ESWL)treatment of upper urinary tract calculi in a solitary kidney.Methods:28 Patients who suffered from upper urinary tract calculi in a solitary kidney.Selection of appropriate patients,placement of Double-J urethral tube forehand,and application of low energy(treatment voltage was 4~12 kV),long-distance shock wav to treat.Results:Of 22 cases with calculi in a solitary kidney,15 cases were treated successfully,while other 7 cases failed.Of 6 cases of upper urinary tract calculi,5 cases were treated successfully,while other a case failed.Conclusions:ESWL for upper urinary tract stone of solitary kidney has the advantage of less damage,safe and relatively effective.更多还原