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总结复式脉冲ESWL治疗上尿路结石的临床资料。方法:回顾性分析6 939例行复式脉冲ESWL术患者的临床资料,肾结石5 381例,输尿管结石1 558例,其中单纯ESWL3 123例,输尿管镜术或经皮肾镜取石术后3 816例,结石大小4mm×4mm～26mm×27mm。工作电压3.0～8.5kV,肾结石平均冲击次数2 177次,输尿管结石平均冲击次数2 486次。结果:肾结石治愈率59.3%,输尿管结石治愈率68.49%,术后5857例(84.4%)出现血尿,1166例(16.8%)肾绞痛,135例(1.95%)高热,7例(0.1%)肾周围血肿,64例(0.92%)输尿管石街,其中9例输尿管镜取石,31例(0.45%)中止手术未完成治疗。结论:复式脉冲ESWL术创伤小、成功率高、严重并发症少,仍是处理上尿路结石主要的治疗手段之一。
Summarize the clinical data of double pulse ESWL in the treatment of upper urinary tract calculi. Methods: The clinical data of 6 939 double-pulse ESWL patients were retrospectively analyzed. There were 5 381 cases of kidney stones and 1 558 cases of ureteral stones, of which 123 cases were ESWL alone, 3 816 cases were treated by ureteroscopy or percutaneous nephrolithotomy , Stone size 4mm × 4mm ~ 26mm × 27mm. The working voltage 3.0 ~ 8.5kV, the average number of renal stones 2 177 times, the average number of ureteral stones hit 2 486 times. Results: The cure rate of kidney stones was 59.3%, cure rate of ureteral stones was 68.49%, hematuria occurred in 5857 cases (84.4%), 1166 cases (16.8%) of renal colic, 135 cases (1.95% ) Peritoneal hematoma, 64 cases (0.92%) of ureteral stone street, of which 9 cases of ureteroscopic lithotomy, 31 cases (0.45%) discontinued the operation is not completed treatment. Conclusion: The double pulse ESWL has the advantages of small trauma, high success rate and few serious complications. It is still one of the main treatments for upper urinary tract stones.