| 体外冲击波碎石术治疗双J管结石形成致拔管困难的临床研究 |
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| 引用本文： | 陈雁威,温世和,欧少青,黄东平,何国堂. 体外冲击波碎石术治疗双J管结石形成致拔管困难的临床研究[J]. 中国医药, 2011, 6(3): 337-338. DOI: 10.3760/cma.j.issn.1673-4777.2011.03.038 |
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| 作者姓名： | 陈雁威 温世和 欧少青 黄东平 何国堂 |
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| 作者单位： | 广东省河源市人民医院泌尿外科,517000 |
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| 基金项目： | 广东省河源市科技计划(医疗卫生)项目 |
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| 摘 要： | 目的 探讨体外冲击波碎石术(ESWL)治疗双J管置管时间过长伴结石形成致拔管困难的疗效.方法 21例因双J管置管时间过长伴结石形成致拔管困难的患者应用双定位碎石机行ESWL治疗,经B型超声和X线定位,冲击电压从5.0 kV开始逐渐加至9.0 kV,冲击次数1000～2000次,对患者治疗后拔管成功率及拔管前后血、尿检验指标进行回顾性分析.结果 21例患者经ESWL治疗1～3次后拔管成功20例,失败的1例患者改行开放手术取出双J管.拔管前后尿、血检验指标差异均无统计学意义(均P＞0.05),但拔管后尿WBC(4个～+/HP)较拔管前(+～+++/HP)明显减少.结论 ESWL治疗双J管置管时间过长伴结石形成致拔管困难者安全性好、成功率高、并发症少.Abstract：Objective To discuss the effect of extracorporeal shock wave (ESWL) for difficult decannulation caused by double J catheter calculi. Methods Twenty-one cases with difficult decannulation were treated by ESWL. They were localized by B-ultrasound and X-ray. The impulse voltage was gradually increased to 9.0kV from 5.0kV for 1000-2000 times. The success rate of decannulation, the inspection index of blood and urine before and after decannulation were retrospectively analyzed. Results Twenty cases successed in decannulation after treated for 1-3 times. The other case was turned to open surgery to remove the detaining double J catheter. Before and after extubation, the urine and blood tests indexes had no statistical significance( P ＞0.05 ), but the WBC of urine after extubation(4 ～ +/HP) was obviously less than that before extubation( + ～ + + +/HP). Conclusion ESWL for difficult decannulation caused by double J catheter calculi is safe with high success rate and few complications.
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| 关 键 词： | 体外冲击波碎石术 双J管 结石 |
Clinical study on extracorporeal shock wave lithotripsy for difficult decannulation caused by double J catheter calculi |
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| CHEN Yan-wei,WEN Shi-he,OU Shao-qing,HUANG Dong-ping,HE Guo-tang. Clinical study on extracorporeal shock wave lithotripsy for difficult decannulation caused by double J catheter calculi[J]. China Medicine, 2011, 6(3): 337-338. DOI: 10.3760/cma.j.issn.1673-4777.2011.03.038 |
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| Authors: | CHEN Yan-wei WEN Shi-he OU Shao-qing HUANG Dong-ping HE Guo-tang |
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| Affiliation: | CHEN Yan-wei(Department of Urology, Heyuan People＇s Hospital, Guangdong Province, Heyuan 517000, China) WEN Shi-he(Department of Urology, Heyuan People＇s Hospital, Guangdong Province, Heyuan 517000, China) OU Shao-qing(Department of Urology, Heyuan People＇s Hospital, Guangdong Province, Heyuan 517000, China) HUANG Dong-ping(Department of Urology, Heyuan People＇s Hospital, Guangdong Province, Heyuan 517000, China) HE Guo-tang(Department of Urology, Heyuan People＇s Hospital, Guangdong Province, Heyuan 517000, China) |
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| Abstract: | Objective To discuss the effect of extracorporeal shock wave (ESWL) for difficult decannulation caused by double J catheter calculi. Methods Twenty-one cases with difficult decannulation were treated by ESWL. They were localized by B-ultrasound and X-ray. The impulse voltage was gradually increased to 9.0kV from 5.0kV for 1000-2000 times. The success rate of decannulation, the inspection index of blood and urine before and after decannulation were retrospectively analyzed. Results Twenty cases successed in decannulation after treated for 1-3 times. The other case was turned to open surgery to remove the detaining double J catheter. Before and after extubation, the urine and blood tests indexes had no statistical significance( P ＞0.05 ), but the WBC of urine after extubation(4 ～ +/HP) was obviously less than that before extubation( + ～ + + +/HP). Conclusion ESWL for difficult decannulation caused by double J catheter calculi is safe with high success rate and few complications. |
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| Keywords: | Extracorporeal shock wave lithotripsy Double J ureteral stent Stone |
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