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目的 :探讨进一步提高体外冲击波碎石术 (ESWL )的疗效及减少并发症的方法。方法 :回顾性总结10年来 5 140例 ESWL治疗成功的经验及存在的问题。结果 :ESWL前未作尿、血、肝功能及专科等常规检查可导致严重并发症 ;作低能及急诊 ESWL治疗疗效满意。结论 :要减少并发症 ,提高疗效 ,ESWL前常规检查不可忽视 ;肾盂肾盏的解剖结构、类型及患者健康等有关因素易影响结石排净率。
Objective: To explore ways to further improve the efficacy and reduce the complications of extracorporeal shock wave lithotripsy (ESWL). Methods: The successful experience and existing problems of 5 140 ESWL treatments in 10 years were retrospectively reviewed. Results: No routine examination of urine, blood, liver function and specialists before ESWL could lead to serious complications. The efficacy of low-energy and emergency ESWL treatment was satisfactory. Conclusion: To reduce the complications and improve the curative effect, the routine examination before ESWL can not be neglected. The anatomical structure, type and patient’s health and other related factors of pyelonephritis easily affect the rate of stone removal.