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本文总结上海交通大学出品体外震波碎石器治疗肾、输尿管结石500例。通过临床实践,体外震波碎石器治疗肾、输尿管结石是一种安全而可靠的新方法。结石直径<3cm,X线能对焦及下尿路无梗阻者为治疗的适应症。在单次硬脊膜外麻醉下进行治疗,位于上尿路结石一次震波量<2500次,碎石率为95.4％,随诊半年,结石治愈率为70.4％。治疗时麻醉方法作了改进,对碎石和排石效果方面有明显效益。结合文献对治疗适应症、禁忌症及碎石问题等进行了讨论。
This article summarizes Shanghai Jiaotong University produced in vitro shock wave lithotripsy treatment of kidney and ureteral calculi in 500 cases. Through clinical practice, extracorporeal shock wave lithotripsy treatment of kidney, ureteral calculi is a safe and reliable new method. Stones diameter <3cm, X-ray can focus and no obstruction of the lower urinary tract for the treatment of indications. In a single epidural anesthesia for treatment, located in the upper urinary tract stones shock wave volume <2500 times, gravel rate was 95.4%, followed up for six months, the stone cure rate was 70.4%. Anesthesia treatment method has been improved on the gravel and row of stone effect has obvious benefits. Combined with the literature on the treatment of indications, contraindications and gravel problems were discussed.