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低能量体外冲击波碎石术治疗婴幼儿上尿路结石

Low-energy extracorporeal shock wave lithotripsy(ESWL) for upper urinary calculi in infants and young children

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【作者】 孙晓磊孙绪清陈仁富孙晓青陈家存温儒民朱海涛

【Author】 SUN Xiaolei;SUN Xuqing;CHEN Renfu;SUN Xiaoqing;CHEN Jiacun;WEN Rumin;ZHU Haitao;Department of Urology,The Affiliated Hospital of Xuzhou Medical College;

【通讯作者】 陈仁富;

【机构】 徐州医学院附属医院泌尿外科

【摘要】 目的 观察低能量体外冲击波碎石(ESWL)治疗上尿路结石的疗效及并发症。方法 对41例婴幼儿上尿路结石患儿进行低能量ESWL治疗,其中急性肾功能衰竭5例,阴性结石27例,阳性结石14例,25例合并肾积水。结果 碎石当天结石排出成功率达100%,碎石部位结石清除率达98%,5例患儿行2次碎石,41例患儿均未出现严重并发症。结论 低能量ESWL治疗婴幼儿上尿路结石效果好,近期无严重并发症,是治疗婴幼儿上尿路结石的首选方法。

【Abstract】 Objective To observe the efficacy and complications of low-energy extracorporeal shock wave lithotripsy(ESWL) in the treatment of upper urinary calculi in infants and young children.Methods 41 cases of upper urinary calculi in infants and young children were treated with ESWL and the clinical data were analyzed retrospectively.Of the41 infants and young children,5 had acute renal failure,27 had negative calculi,14 had positive calculi,and 25 had hydronephrosis.Results The rate of stones discharged the same day after ESWL was 100%,98% of the stones were cleared from the original places.5 cases were treated twice.No serious complications were observed in all the 41 cases.Conclusion Low-energy ESWL is a safe and effective treatment for upper urinary calculi in infants and young children,so it should be considered the first choice to treat upper urinary calculi in infants and young children.

  • 【文献出处】 徐州医学院学报 ,Acta Academiae Medicinae Xuzhou , 编辑部邮箱 ,2012年12期
  • 【分类号】R726.9
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