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目的 :探讨X线定位系统碎石机治疗复杂性肾结石的临床效果。方法 :应用国产HX 90 2型水囊式碎石机治疗复杂性肾结石 84例。碎石时采取先易后难 ,分次碎石 ,力争冲击一部分就要彻底粉碎 ,以防止“石街”形成。结果 :84例中多发性结石 5 2例 ,结石直径大于 2 .5cm者 33例 ,鹿角型结石 3例 ,孤立肾结石 2例 ,蹄铁型肾结石 1例。碎石成功率为 97.6 %(82 / 84 )。 6个月内结石完全排净 5 2例 (6 1.9% ) ,基本排净 17例 (2 0 .2 % ) ,治愈率为 82 .1%。部分排出 13例 (15 .8% )。结论 :体外冲击波碎石是复杂性肾结石较为安全、有效的理想治疗方法 ,碎石治疗时对不同类型结石所采用的方法应有所区别
Objective: To investigate the clinical effect of X-ray lithotripsy lithotripsy in the treatment of complex renal calculus. Methods: Eighty - four cases of complex renal calculus were treated with domestic HX 90 2 type hydrogel lithotripsy machine. Gravel to take the easy first hard, graded gravel, part of the impact and strive to completely crushed to prevent the “stone street” formation. Results: There were 52 cases of multiple stones in 84 cases, 33 cases of stones larger than 2.5 cm in diameter, 3 cases of antlers type stones, 2 cases of solitary kidney stones and 1 case of shoe-shaped kidney stones. The gravel success rate was 97.6% (82/84). In 6 months, 52 cases (6.19%) had complete rejection of stones and 17 cases (20.2%) had basic rejection, with a cure rate of 82.1%. Partial discharge of 13 cases (15.8%). Conclusion: Extracorporeal shock wave lithotripsy is a safe and effective complex renal calculi treatment, gravel treatment of different types of stones should be used when the method should be different