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目的:探讨ESWL治疗肾结石术后并发症.方法:经ESWL治疗肾结石患者280例,电压为12KV~15KV,放电次数为600次~2000次。孤立肾肾结石,碎石前置入双“J”管后再行碎石。结果:280例肾结石,术后并发肾周围血肿3例,石街20例,肾绞痛34例。结论:ESWL是治疗肾结石的第一选择,但要正确掌握好适应症和禁忌症,尤其是1年以上,肾功能较差伴重度肾积水和肾皮质变薄的结石患者,手术要谨慎,若ESWL治疗无效,应及时改变治疗方法。
Objective: To investigate the postoperative complications of ESWL in the treatment of kidney stones.Methods 280 cases of ESWL were treated with renal stones, the voltage was 12KV ~ 15KV and the number of discharges was 600 ~ 2000 times. Isolated kidney and kidney stones, gravel placed in double “J” tube before gravel. Results: There were 280 cases of kidney stones, 3 cases of postoperative renal hematoma, 20 cases of stone street and 34 cases of renal colic. CONCLUSIONS: ESWL is the first choice for the treatment of kidney stones. However, to correctly understand the indications and contraindications, especially in patients with stones more than one year and with poor renal function and severe hydronephrosis and renal cortical thinning, surgery should be cautious , If ESWL treatment is invalid, should be promptly changed treatment.