CAJ | 학술논문

目的探讨体外冲击波碎石治疗内镜术后残留结石的临床疗效.方法回顾性分析132例(148侧)微创内镜术后残留结石经体外冲击波碎石治疗患者的临床资料.结果第1次体外碎石结石成功排出71侧,其中肾结石43侧(39.8％),输尿管结石28侧(70.0％);第2次体外碎石结石成功排出52侧,其中肾结石40侧(37.0％),输尿管结石12侧(30.0％);第3次体外碎石结石均为肾结石,共23侧(21.3％).总有效碎石率为98.65％(146/148),排石周期4d～10周.2例治疗失败.结论体外冲击波碎石是对腔镜术后残留结石治疗的一种经济、安全、有效的补充治疗方法.
목적 탐토체외충격파쇄석치료내경술후잔류결석적림상료효.방법 회고성분석132례(148측)미창내경술후잔류결석경체외충격파쇄석치료환자적림상자료.결과 제1차체외쇄석결석성공배출71측,기중신결석43측(39.8％),수뇨관결석28측(70.0％);제2차체외쇄석결석성공배출52측,기중신결석40측(37.0％),수뇨관결석12측(30.0％);제3차체외쇄석결석균위신결석,공23측(21.3％).총유효쇄석솔위98.65％(146/148),배석주기4d～10주.2례치료실패.결론 체외충격파쇄석시대강경술후잔류결석치료적일충경제、안전、유효적보충치료방법.
Objective To investigate the clinical effect of extracorporeal shock wave lithotripsy (ESWL) on residual calculi after endoscopic surgery.Methods The clinical data of 132 patients (148 sides) with residual calculi after endoscopic surgery underwent ESWL were retrospective analyzed.Results By first ESWL treatment,a total of 71 side stones were successfully discharged,including kidney calculi 43 sides (39.8％) of kidney calculi and 28 sides (70.0％) of ureteral calculi.By second ESWL treatment,a total of 52 sides calculi were successfully discharged,including 40 sides (37.0％) of kidney calculi and 12 sides(30.0％) of ureteral calculi.By third ESWL treatment,a total of 23 sides (21.3％) calculi were successfully discharged,all were kidney calculi.There were 2 cases of treatment failure.The total gravel rate was 98.65％ (146/148),and the removing calculus cycle was 4 d ～ 10 weeks.Conclusions The ESWL is an economical,safe and effective complementary therapies on residual calculi after endoscopic surgery.