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我院于1989~1991年用国产水槽式JT—ESWL—Ⅱ型碎石机治疗尿路结石1595例,x线定位,每次治疗能量(12.5~15.5KV)×(1200~3200),平均每例治疗 1.2次,总的粉碎率98.5%,其中3例(0.19%)在体外冲击波碎石(ESWL)后,分别发现腹膜后恶性淋巴瘤、肝癌、恶性组织细胞病,现报告如下.1 病例报告例1,男,57岁,右腹持续性隐痛半年伴全程肉眼血尿,于1991年1月16日入院.查体:体温正常,营养可,全身浅表淋巴结无肿大;血常规(一),尿红细胞(?),脓细胞少许,蛋白(++);KUB、IVU、B超检查:右肾见3.5cm×2.5cm和四颗黄豆大的结石并右肾积水.同月25日行ESWL,15KV×2400次,术后排石,复查KUB见肾结石被粉碎,部分残石滞留肾内.患者于2月11日~25日离院,返院后体温
In our hospital from 1989 to 1991, we used domestic JT-ESWL-II type stone crusher to treat 1595 cases of urinary tract calculi. X-ray localization, each treatment energy (12.5 ~ 15.5KV) × (1200 ~ 3200), the average After 1.2 treatments, the total comminution rate was 98.5%. Three cases (0.19%) were found after extracorporeal shock wave lithotripsy (ESWL). They were found retroperitoneal malignant lymphoma, liver cancer, and malignant histiocytosis. The report is as follows. 1 Case Report Example 1, male, 57 years old, persistent abdominal pain in the right abdomen with gross hematuria for six months, admitted to hospital on January 16, 1991. Physical examination: body temperature is normal, nutrition is available, no superficial lymph node enlargement; blood routine (one ), urine red blood cells (?), a few pus cells, protein (++); KUB, IVU, B-ultrasonic examination: right kidney see 3.5cm × 2.5cm and four large stones and kidney right kidney water. On the same month on the 25th ESWL, 15KV × 2400 times, after row stone, review KUB see kidney stones were crushed, some residual stone retention in the kidney. Patients left hospital on February 11 ~ 25, after returning to hospital temperature