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自1987年6月至1994年10月,体外冲击波碎石(ESWL)治疗尿结石共6434例。按美国FDA肾结石分类,A类治疗成功率89.0%,B类87.7%。另有88例KUB示面积超过9cm ̄2的肾结石治疗成功率为71.6%,15例完全充填型巨大铸型肾结石采用单纯ESWL、ESWL加用输尿管支架、先手术后ESWL或先ESWL后手术等方式治疗。输尿管结石ESWL总的成功率81.3%。逆行输尿管插管后ESWL可提高治疗成功率。输尿管结石ESWL失败需外科手术率0.95%。肾结石ESWL后高血压发生率8.57%,肾结石复发率5.71%。
From June 1987 to October 1994, extracorporeal shock wave lithotripsy (ESWL) treatment of urinary stones a total of 6434 cases. According to the United States FDA classification of kidney stones, the success rate of type A treatment was 89.0% and that of category B 87.7%. Another 88 cases of KUB showed an area of more than 9cm ~ 2 nephrolithiasis success rate of 71.6%, 15 cases of completely filled with massive cast kidney stones using ESWL alone, ESWL plus ureteral stent, ESWL or ESWL After surgery and other treatment. The total success rate of ureteral calculi ESWL was 81.3%. Retrograde ureteral intubation ESWL can improve the success rate of treatment. Ureteral calculi ESWL failure required surgical rate of 0.95%. ESWL renal stones after hypertension incidence rate of 8.57%, the recurrence rate of 5.71% of kidney stones.