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目的探讨体外冲击波治疗肾及输尿管结石的治疗效果及治疗失败的原因分析。方法回顾性分析肾结石684例,输尿管结石3516例,分析从2006年～2010年对肾及输尿管结石患者行体外冲击波碎石的观察效果。结果成功结石粉碎并全部排出者4127例,其中一次碎石排出者3053例,二次碎石排出802例,三次碎石排尽234例,失败(结石虽已粉碎但未全部排出者)为38例,32例转入泌尿外科行钬激光碎石或行开放手术取石术。结论体外冲击波碎石对于治疗肾及输尿管结石无损伤,无疼痛并且效果满意,相对于手术治疗损伤小,安全性高,价格低是一项的治疗手段。
Objective To investigate the therapeutic effect of extracorporeal shock wave on renal and ureteral calculi and analyze the causes of failure. Methods 684 cases of kidney stones and 3516 cases of ureteral stones were retrospectively analyzed. The observation of extracorporeal shock wave lithotripsy in patients with renal and ureteral calculi from 2006 to 2010 was analyzed. Results of the successful stone crushing and all discharged 4127 cases, including a single lithotripsy of 3053 cases, 802 discharged secondary lithotripsy, rupture of three cases of 234 cases, failure (although the stones have been crushed, but not all discharged) 38 Cases, 32 cases transferred to the urology holmium laser lithotripsy or open surgery lithotomy. Conclusion Extracorporeal shock wave lithotripsy for the treatment of renal and ureteral stones without injury, no pain and satisfactory results, relative to the surgical treatment of small injuries, high safety, low prices is a treatment.