谷欣权 孔祥波 赵志德 张刚 宁以才 2005-12-13 13:08:24 中华中西医杂志 2004年5月第5卷第9期
【摘要】 目的 探讨体外冲击波碎石术（ESWL）急诊治疗上尿路结石的疗效。方法 通过对26例患者应用ESWL治疗及35例患者单纯应用药物保守治疗，比较两种治疗方法的疗效。结果 ESWL治疗组:一次碎石成功24例（92.3%），20min内25例患者绞痛完全缓解，1例部分缓解。结石排出时间为3天内14例，3天～1周9例，1～2周3例。对照组:绞痛完全缓解19例（54.3%），部分缓解7例（20.0%），9例未缓解。1周内再次出现绞痛者16例（45.7%）。结石3天内排出者3例，3天～1周内6例，1～2周内5例。结论 出现上尿路结石绞痛时应及早施行ESWL，ESWL治疗上尿路结石疗效确切。
关键词 体外冲击波碎石术 上尿路结石 绞痛
Effect of ESWL on emergency treatment of
upper urinary tract calculi
Gu Xinquan，Kong Xiangbo，Zhao Zhide，et al.
The Third Clinical College，Jilin University，Changchun Jilin130031.
【Abstract】 Objective To evaluate the effect of ESWL on treatment of upper urinary tract calculi in emergenˉcy.Methods 26patients were treated by ESWL and35patients were treated with medicine.Results In ESWL group calculi were fragmented in24patients（92.3%）and colic relieved entirely in25patients after the first ESWL.In the control group colic relieved entirely in19patients（54.3%）and had no change in9pateints.Conclusion The result suggests that emergency ESWLwas an effective way to treat upper urinary tract calculi with colic and should be used early.
Key words ESWL（extracorporeal shock wave lithotripsy） upper urinary tract calculi colic
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