论文部分内容阅读
目的研究体外冲击波碎石(extracorporeal shock wave lithotripsy,ESWL)联合输尿管镜治疗孤立肾上尿路结石的疗效。方法应用ESWL联合输尿管镜治疗孤立肾上尿路结石48例。结果45例成功处理结石,成功率达93.8%,另外3例改开放手术。术后随访1~12个月,4例有结石残留,结石排净率达91.1%,均未出现输尿管梗阻、狭窄、闭锁。结论ESWL联合输尿管镜治疗孤立肾上尿路结石有较好的优势互补性,创伤小,安全,残石率低,恢复快。
Objective To investigate the efficacy of extracorporeal shock wave lithotripsy (ESWL) combined with ureteroscopy in the treatment of isolated upper urinary tract calculi. Methods 48 cases of solitary upper urinary tract stones treated with ESWL combined with ureteroscopy. Results 45 cases successfully treated stones, the success rate of 93.8%, the other 3 changed to open surgery. Follow-up 1 to 12 months after operation, 4 cases of residual stones, stone clearance rate of 91.1%, did not appear ureteral obstruction, stenosis, atresia. Conclusion ESWL combined with ureteroscopy in the treatment of isolated upper urinary tract calculi has a good complementarity, trauma, safety, low residual stone rate, fast recovery.