CAJ | 학술논문

目的：总结3200例泌尿系结石体外冲击波碎石（ESWL）后体位活动排石效果。方法肾上盏、肾盂、输尿管中段和上段结石 ESWL后顺行运动，肾中盏结石侧卧、仰卧、俯卧，肾下盏结石反向逆流位，膀胱结石先俯卧位后即可站立排尿，促使排石。结果肾绞痛发作319例，发作率10.5%，发作高峰时间在术后1～3d；结石排尽2750例，占90.45%，复碎545例，占17.94%，随访2个月结石残留288例，占9.47%。结论泌尿系结石ESWL后正确的卧位活动取向可助排石，缩短排石时间，减少肾绞痛发作几率，提高结石排尽率。
목적：총결3200례비뇨계결석체외충격파쇄석（ESWL）후체위활동배석효과。방법신상잔、신우、수뇨관중단화상단결석 ESWL후순행운동，신중잔결석측와、앙와、부와，신하잔결석반향역류위，방광결석선부와위후즉가참립배뇨，촉사배석。결과신교통발작319례，발작솔10.5%，발작고봉시간재술후1～3d；결석배진2750례，점90.45%，복쇄545례，점17.94%，수방2개월결석잔류288례，점9.47%。결론비뇨계결석ESWL후정학적와위활동취향가조배석，축단배석시간，감소신교통발작궤솔，제고결석배진솔。
Objective To summarize body position's ef ect on urinary calculi after extracorporeal shock wave lithotripsy based on 32,000 cases. Methods We suggest prorate movement for patients having calculi in renal calices, renal pelvis, middle and upper part of urethra. Patients having middle renal calyces calculi use the method of lying on the side, on the back and on the stomach. Patients having lower renal calculi use reverse positioning. Patients of bladder calculi lie on the stomach and then stand to produce urine so as to help remove calculi. Results 319 cases of renal colic, accounting for 10.5%of the total, with 1-3 days after surgery being the peak hour of breaking out; 2750 cases of complete removal, accounting for 90.45% of the total; 545 cases of re-operation, accounting for 17.94%; 218 cases of residual calculi in 2 Month, accounting for 9.47%. Conclusion The correct body movement after ESWL helps remove calculi, shorten lithagogue time and reduce incidence of renal colic and residual calculi.