ESWL配合排石汤治疗泌尿系结石417例

我院自2000年以来,采用体外震波碎石(ESWL)技术与口服中药排石汤相结合的方法,治疗泌尿结石417例,取得了较好的治疗效果.报告如下.     

ESWL治疗泌尿系结石192例报告

作者对体外冲击波碎石术（ESWL）治疗泌尿系结石192例进行了总结。认为CS-2000MP型体外冲击波碎石机由于采用B超定位，避免了X线室位对人体的损害，提高了输尿管中下段结石的碎石成功率，其操作简便，使用电压低，冲击波次数少，安全无痛苦。同时作者对影响碎石的因素和术后并发症的处理进行了探讨，对开展此项治疗技术的医院具有一定的指导意义。     

体外震波碎石治疗泌尿系结石的护理

ＥＳＷＬ ,是一种无创伤、安全、有效的治疗泌尿系结石的方法。自 1998年 9月～ 1999年 12月 ,采用体外震波碎石5 0 0 0例 (水槽式ＥＳＷＬ机治疗 ) ,效果较好 ,现将治疗前的准备和治疗中的观察护理及注意事项报告 :1　一般资料与方法1.1　一般资料　 5 0 0 0例中 ,其中肾结石 2 80 7例 ,占总数5 6 1%。输尿管结石 2 15 7例 ,占总数 4 3 1% ,膀胱结石 3 6例 ,占 0 7%。男性 2 84 4例 ,占总数 5 6 9% ,女性 2 15 6例 ,占总数 4 3 1% ,最小年龄 5岁 ,最大年龄 79岁 ,平均年龄 4 0岁。1.2　方法　冲击波的冲击次数为 80 0～ 2 0 0 0次 ,电压…     

ESWL急诊治疗泌尿系结石365例报告

1988年12月至今,我院应用CSM—1型及CSM—2000型水囊式,B超定位碎石机治疗泌尿系结石4649例,效果满意,1995年以来急诊体外震波碎石(ESWL)治疗泌尿系结石病人365例,疗效好,治愈率高,报导如下:     

ESWL原位治疗输尿管结石

我院自1990年2月至1993年2月,应用国产HX902ESWL碎石机对160例(167枚)输尿管结石进行了治疗.报道如下.临床资料一、一般资料:男122例,女38例.年龄15～70岁,平均41岁.结石位于输尿管上段70枚,中段27枚,下段70枚,单发153例,多发7例.结石最大径<1cm70枚,1～2cm93枚,>2cm2枚,阴性结石2枚.     

输尿管结石的X线定位和ESWL治疗130例体会

自1989年9月～1991年10月使用NS15型水囊式X线定位体外震波碎石机，对130例输尿管结石患者进行了治疗[1]。就治疗效果体会如下：1临床资料与方法1．1一般资料男性97例，女33例，年龄16～72岁，平均42岁。输尿管上段结石39例，其中左侧23例．右侧16例；输尿管中段54例，左侧28例，右侧26例；输尿管下段37例，左侧22例，右侧15例。左侧最大结石3．0×1．4cm，最小结石0．5×0．3cm。右侧最大结石2．0×1．3cm，最小结石0．4×0．6cm．双侧输尿管结石2例．多发结石1例。1．2治疗方法输尿管上段结石多采用仰卧位或俯卧位，中段结石多采用俯卧…     

体外冲击波碎石机治疗尿路结石2060例临床分析

体外冲击波碎石机应用临床以来，为泌尿系统结石患者提供了一种的非手术治疗方法，经过ESWL治疗尿路结石2060例，取得满意效果。     

自拟排石粉治疗泌尿系结石1375例临床报告

目的：总结自拟排石粉治疗泌尿系结石的临床疗效。方法：以金钱草、土茯苓、海金砂等中草药组成排石粉，用开水浸泡过滤后饮用，观察1375例的治疗效果。结果：治愈1288例，显效79例，无效8例，有效率99．42％。结论：自拟排石粉治疗泌尿系结石效果满意，可供同行参考。但结石超过10mm者须先碎石后再用此法治疗。     

23例飞行人员上尿路结石的早期诊断、治疗及愈后评价

近 3 0多年来 ,我国上尿路结石发病率明显增高 [1 ]。随着影像学诊断技术的发展 ,早期发现率也随着增高。飞行人员上尿路结石的早期诊断与治疗 ,对保证飞行安全 ,掌握健康鉴定标准有其重要的意义。我院自 1992年 2月至 2 0 0 2年 6月收治飞行人员上尿路结石 2 3例 ,现报告如下。一、对象与方法1.对象 :2 3名男性飞行人员 ,年龄2 1～ 44岁 (平均 3 2岁 )。机种为歼击机(歼 -6、歼 -7)、教练机 (初教 -6、歼教 -5 )、运输机 (运 -5 )和直升机 (黑鹰、米 -17)。飞行时间 40 0～ 40 0 0 h(平均 162 7h)。2 3例飞行人员经 B超、腹部平片、静脉肾…     

排石颗粒联合坦索罗辛治疗体外冲击波碎石后输尿管下段结石的临床疗效

目的探讨排石颗粒联合坦索罗辛治疗体外冲击波碎石（extrocorporeal shock wave lithotripsy,ESWL）后输尿管下段结石的临床疗效。方法选取我院输尿管下段结石ESWL术后患者120例,随机分为实验组和对照组各60例,两组患者均饮水2L/d,常规给予抗感染、止血等处理,实验组给予排石颗粒联合坦索罗辛治疗;对照组仅给予排石颗粒治疗。观察结石排出率、碎石后肉眼血尿时间、典型肾绞痛再次发生率及复发率。结果两组的排石率分别为96.67%和85.00%,两组比较差异具有统计学意义（P〈0.05）。实验组的碎石后肉眼血尿时间、典型肾绞痛的再次发生率及复发率均低于对照组,两组比较差异具有统计学意义（P〈0.05）。两组均无严重不良反应发生。结论排石颗粒联合坦索罗辛能显著提高输尿管下段结石ESWL后的结石排出率,减少碎石后肉眼血尿的时间和再次发生肾绞痛的几率,降低复发率,且安全有效,值得临床推广。     

Combined treatment of stone-obstructed hepatico-jejunostomy with interventional techniques and ESWL

In a 37-year-old woman with recurrent stenosis of a biliary digestive tract anastomosis and subsequent formation of bile stones, current methods of percutaneous management were useful in dilating the stenotic areas but could not remove a single bile stone within the left hepatic duct. It was successfully treated by using extracorporeal shock wave lithotripsy (ESWL) without major side effects.     

Percutaneous nephrostomy in conjunction with ESWL in treatment of nephrolithiasis

The use of percutaneous nephrostomies (PCNs) in 1456 patients (1660 kidneys) treated with extracorporeal shock-wave lithotripsy (ESWL) was evaluated. In this group, 138 PCNs (130 patients) were performed in 133 kidneys. Forty-seven percent of PCNs were placed in patients with staghorn calculi; 24% were for stones in the renal pelvis, and 20% for ureteral stones. The most common indication for PCN was fever and obstruction (57%). In 15%, the indications were failure to decompress an obstructed system from a retrograde direction, clogged double-J ureteral stents, and perforation of the ureter. Prophylactic PCN placement in the treatment of staghorn calculi and large stones in the renal pelvis accounted for 12%. Five percent were placed for miscellaneous other reasons, and for 11% there was no documentation of the indication because they were placed before the patients came to our center. Localization of the collecting system for optimal placement of PCN is unique in ESWL patients because the residual stone fragments provide natural contrast. This eliminates the need for administration of contrast material in 50% of the patients. Twenty-six percent of PCN tracts were subsequently used for other procedures (e.g., percutaneous nephrolithotomy, fragment irrigation, ureteral stone manipulation). Bleeding complications from PCN occurred in 7%. Other minor complications occurred in 12% of cases. PCN is a useful adjuvant to ESWL treatment of kidney stones. Although its major use is to relieve urinary tract obstruction, it is also used as a preliminary step in planning other percutaneous interventional procedures. This is particularly the case in the treatment of large bulky stones in the renal pelvis and staghorn calculi.     

改进法胸腔穿刺100O例报告

目的总结推介改进法胸腔穿刺的经验.方法采用一次性静脉输液针代替传统穿刺针进行胸腔穿刺,观察1000例患者.结果治愈832例,转胸腔闭式引流或开胸术168例.并发症有胸膜反应5例,血胸2例,气胸1例.结论该法具有取材方便、快捷,操作简单,节省人力,不受体位影响等优点,尤适于危重病人或截瘫病人的诊断性胸穿,可为急危重症病人的诊断抢救争取时间.但对积液浓稠者仍宜使用粗针穿刺.     

胸腺切除治疗重症肌无力53例报告

目的：探讨胸腺切除对重症肌无力的疗效。方法：对1990-2002年间手术治疗的53例重症肌无力患者的临床资料和随访结果进行总结，并分析其预后因素。结果；疗效按Monden标准评价，其中缓解14例（26．4％），改善24例（45．3％），无变化9例（17．0％），恶化6例（11．3％），死亡2例。总有效率（缓解＋改善）71．7％。结论：胸腺切除术是治疗重症肌无力的有效方法，对重症肌无力病人应及早手术治疗。     

Current trends in the management of urinary stones

The treatment of renal and ureteral stones has undergone rapid and major changes over the past ten years. Extracorporeal shockwave lithotripsy has become the most commonly used modality for the treatment of renal and upper ureteral stones. Lower ureteral stones are more commonly being approached by retrograde techniques. Percutaneous nephrolithotomy, medical therapy, and open surgical nephrolithotomy offer viable alternatives in given situations. Presented here is the current application of each of these techniques, both alone and in combination, for the treatment of urinary stones.