论文部分内容阅读
我们对１９６例输尿管结石合并急性肾绞痛病人行急诊体外震波碎石（ＥＳＷＬ）治疗，总有效率达９５．９２％．其中中上段结石有效率为８６．１１％，中下段结石有效率为９４．１１％，壁段有效率为９９．１２％．由于肾绞痛时，结石尚在移动中，结石与输尿管壁之间有一定空隙，结石周围无纤维组织包绕，肾功能损害小，因此，急诊行ＥｓｗＬ有利于碎石及排出。本组中上段结石或其他部位结石大于１．０ｃｍ者，尚有少数病例疗效欠佳．
We treated 196 patients with ureteral calculi and acute renal colic who underwent emergency extracorporeal shock wave lithotripsy (ESWL), with a total effective rate of 95.92%. Among them, the effective rate of middle and upper stones was 86.11%, the effective rate of middle and lower stones was 94.11%, and the effective rate of wall segment was 99.12%. As renal colic, the stones are still moving, there is a certain gap between the stones and the ureteral wall, surrounded by no fibrous tissue around the stone, renal damage is small, therefore, EswL emergency line is conducive to gravel and discharge. In the upper group of stones or other parts of stones larger than 1.0cm, there are a few cases of poor efficacy.