| CLINICAL STUDY OF SHOCK WAVE LITHORTRIPSY AFTER FAILURE OF ENDOSCOPIC LITHORTRIPSY |
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| 作者姓名： | 贾建业 姜宁 王国增 叶敏 石泉 郑景存 许梦清 杨芳 朱英坚 王伟明 |
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| 作者单位： | [1]Department of Urology, Gongli Hospital, Shanghai 200135, China [2]Department of Urology, Xinhua Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200092,China |
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| 摘 要： | Objective To evaluate the effectiveness of shock wave lithortripsy （SWL） for treating patients with calculus after failure of endoscopic lithortripsy. Methods From Feb. 2006 to Mar. 2007, 60 patients presented to our department with the upper urinary tract stones. Thirty-seven patients were renal stones and twentythree were ureteral stones. All patients with average stone burden of 1.5 cm were treated using a Dornier Compact S lithotripter. The total number of shock waves varied from 1 600 to 3 000 and the energy levels ranged from 1 to 6 units. Results For 37 renal stones, the fragmentation was 75. 67% （28cases） after one SWL session, 10.81% （4 cases） after2 SWL sessions, 5. 40% （2 cases） after 3 SWL sessions, and 2. 70% （1 case） after 4 SWL sessions. Two patients （5.40%） failed and changed to open surgery. For23 ureter calculus, the fragmentation was 82.60% （19cases） after one SWL session and l7. 40% （4cases） after 2 SWL sessions. Conclusion SWL is an effective and reliable treatment for patients with calculus after failure of endoscopic lithortripsy. However, it is very important for doctor to choose appropriate therapy. SWL is a remedy.
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| 关 键 词： | 身体 休克 肾结石 失效 |
CLINICAL STUDY OF SHOCK WAVE LITHORTRIPSY AFTER FAILURE OF ENDOSCOPIC LITHORTRIPSY |
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| JIA Jian-ye,JIANG Ning,WANG Guo-zeng,YE Min,SHI Quan,ZHENG Jing-chun,XU Meng-qing,YANG Fang,ZHU Ying-jian,WANG Wei-ming.CLINICAL STUDY OF SHOCK WAVE LITHORTRIPSY AFTER FAILURE OF ENDOSCOPIC LITHORTRIPSY[J].Journal of Shanghai Second Medical University(Foreign Language Edition),2008,20(1):28-31,37. |
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| Authors: | JIA Jian-ye JIANG Ning WANG Guo-zeng YE Min SHI Quan ZHENG Jing-chun XU Meng-qing YANG Fang ZHU Ying-jian WANG Wei-ming |
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| Institution: | [1]Department of Urology, Gongli Hospital, Shanghai 200135, China; [2]Department of Urology, Xinhua Hospital, School of Medicine, Shanghai Jiaotong University, Shanghai 200092,China |
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| Abstract: | Objective To evaluate the effectiveness of shock wave lithortripsy (SWL) for treating patients with calculus after failure of endoscopic lithortripsy. Methods From Feb. 2006 to Mar. 2007, 60 patients presented to our department with the upper urinary tract stones. Thirty-seven patients were renal stones and twenty-three were ureteral stones. All patients with average stone burden of 1.5 cm were treated using a Dornier Compact S lithotripter. The total number of shock waves varied from 1 600 to 3 000 and the energy levels ranged from 1 to 6 units. Results For 37 renal stones, the fragmentation was 75. 67% (28 cases) after one SWL session, 10.81% (4 cases) after2 SWL sessions, 5. 40% (2 cases) after 3 SWL sessions, and 2. 70% (1 case) after 4 SWL sessions. Two patients (5. 40% ) failed and changed to open surgery. For 23 ureter calculus, the fragmentation was 82.60% (19 cases) afler one SWL session and17. 40% (4 cases) after 2 SWL sessions. Conclusion SWL is an effective and reliable treatment for patients with calculus after failure of endoscopic lithortripsy. However, it is very important for doctor to choose appropriate therapy. SWL is a remedy. |
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| Keywords: | extracorporeal shock wave lithortripsy renal caculi ureteral stones failure |
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