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目的 :探讨后尿道结石并急性尿潴留的急诊体外冲击波碎石术 (ESWL)的治疗方法。方法 :先以液体加压灌注法将结石推压入膀胱后 ,放置Foley导尿管解除尿潴留 ,然后在膀胱内注入 1 50ml左右液体以利于定位及增强碎石效果 ,并即行ESWL治疗。结果 :本组病例均一次性碎石成功 ,即刻解除尿潴留症状 ,拔管后即刻排石 ,结石排净率 1 0 0 % ,未发生任何严重并发症。结论 :后尿道结石并急性尿潴留患者采用急诊ESWL治疗 ,创伤小 ,即治即愈 ,有条件的单位有推广价值。
Objective: To explore the treatment of emergency extracorporeal shock wave lithotripsy (ESWL) with posterior urethral calculus and acute urinary retention. Methods: The first pressurized liquid perfusion method to push the stones into the bladder, placed Foley catheter to relieve urinary retention, and then injected into the bladder about 150ml liquid to facilitate positioning and enhanced gravel effect, and that ESWL treatment. Results: All the patients in this group were successfully treated with one time gravel. Immediately relieve the symptoms of urinary retention. Immediately after extubation, the stones were discharged and the rate of stone removal was 100%. No serious complications occurred. Conclusion: Patients with posterior urethral calculus and acute urinary retention are treated with emergency ESWL. The trauma is small, that is, the cure is immediate, and the qualified unit has the promotion value.