论文部分内容阅读
作者在26个月内用ESWL治疗大于3 cm的巨大肾结石181例。本文报告其中未经过开放手术或PCNL的120例治疗经验。患者年龄17—81岁,用Dornier HM_3型机治疗。按照Rocco′s分类,结石>3 cm,C2,20例、C4,51例,C5,25例。震波次数为2000～4500次/次治疗,电压18～24千伏。8例计划分期治疗,13例需2次治疗,5例需2次以上治疗。孤肾及马蹄肾各3例,结石透光或显影很差37例。77例排出之结石做化学分析为:草酸钙4例、磷酸钙25例、磷酸胺镁16例、胱胺酸4例、尿酸或含尿酸28例。
The authors treated 181 cases of giant kidney stones larger than 3 cm with ESWL within 26 months. This article reports on 120 cases of untreated or PCNL therapies. Patients aged 17-81 years old, with Dornier HM_3 machine treatment. According to Rocco’s classification, stones> 3 cm, C2, 20 cases, C4, 51 cases, C5, 25 cases. Shock frequency is 2000 ~ 4500 times / times treatment, voltage 18 ~ 24 kV. 8 cases scheduled for treatment, 13 cases required 2 treatment, 5 cases required more than 2 treatment. Nephropathy and horseshoe kidney in 3 cases, stone or poor light transmission in 37 cases. 77 cases of stones discharged for chemical analysis: calcium oxalate in 4 cases, calcium phosphate in 25 cases, magnesium phosphate in 16 cases, cystine in 4 cases, uric acid or uric acid in 28 cases.