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目的探讨补充性体外冲击碎石(ESWL)术治疗钬激光碎石术后残余结石的临床疗效和治疗价值。方法 2006年1月至2009年10月,上海市嘉定区中心医院对输尿管镜下钬激光碎石术中发生结石漂移或术后存在≥6 mm残余结石的86例患者进行了补充性ESWL术,取得了满意的疗效。结果 78例(90.6%)患者ESWL后B超下观察碎石成功,2个月后B超和腹部平片+静脉肾盂造影证实无残余结石;8例(9.4%)患者仍存在≤5 mm残余结石。结论补充性ESWL术是治疗输尿管镜下钬激光碎石术出现残余结石和结石漂移的主要选择之一,可明显提高结石排尽率。
Objective To investigate the clinical efficacy and therapeutic value of ESWL in the treatment of residual stones after holmium laser lithotripsy. Methods From January 2006 to October 2009, 86 patients with lithotripsy of ureteroscopic holmium laser lithotripsy or ≥6 mm residual stones after operation were treated with ESWL in Jiading District Central Hospital. Has achieved satisfactory results. Results In 78 patients (90.6%), the gravel was successfully observed after B ultrasound in ESWL patients. No residual stones were confirmed by ultrasonography and abdominal plain radiography + intravenous pyelography 2 months later. There were still ≤5 mm residual in 8 patients (9.4%) stone. Conclusion Complementary ESWL is one of the main options in the treatment of residual stones and stone drift in ureteroscopic holmium laser lithotripsy, which can significantly improve the rate of stone exhaustion.