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介绍对405例输尿管结石进行体外震波碎石（ESWL）治疗（治愈率95.8％）的体会。为提高其疗效,笔者的做法是对X线不显影的输尿管结右,采用橄榄头形金属输尿管扩张条经膀胱镜逆行插至结石下方作指引有助于定位和治疗。对双侧输尿管结石并尿毒症者分侧分次进行,以保安全,效果满意。对上段输尿管结石仰卧加大倾斜度可避开脊柱对冲击波的遮挡,提高碎石效果;下段结石将原过度背伸俯卧位改为低斜坡俯卧位可克服ESWL治疗中或治疗后腰痛明显的弊端。
Introduction of 405 cases of ureteral stones with extracorporeal shock wave lithotripsy (ESWL) treatment (cure rate 95.8%) experience. In order to improve its curative effect, the author’s approach is to right X-ray non-visual ureter junction, the use of olive head-shaped ureteral dilatation of the retrograde cystoscopy inserted below the stones for guidance and help to locate and treat. On the bilateral ureteral calculi and uremia were sub-sub-sub-times in order to ensure security, the effect is satisfactory. Supine on the upper ureteral calculi increased tilt can avoid the spine on the shock wave shielding, improve the lithotripsy; the lower part of the original dorsal ulceration over the prone position to a low slope prone position can overcome ESWL treatment or postoperative treatment of low back pain obvious drawbacks .