Objective To observe the curative effect of extracorporeal shock wave lithotripsy in the treatment of urinary calculi. Methods The clinical data of 98 cases with urinary calculi admitted to People's Hospital of Yunyang County in Chongqing City from January 2012 to January 2014 were analyzed retrospectively. All patients were taken the therapy of extracorporeal shock wave lithotripsy, and the curative effect and conditions of complications were observed. Results Among patients of this study, 44 cases of patients egested calculi completely for once, accounting for 44.90%, 30 cases of patients egested calculi completely for twice, accounting for 30.61%, 21 cases of patients egested calculi completely for three times, accounting for 22.45%, 3 cases of patients were failed after extracorporeal shock wave lithotripsy and then took open surgery. The clinical curative effect showed that, there were 54 cases of cured, 41 cases of improved, 3 cases of failed, the total effective rate was 96.94%. Complications after extracorporeal shock wave lithotripsy, all pa-tients showed more or less gross hematuria or microscopic hematuria, 1-2 days later, they were disappeared;the skin of 5 cases of patients showed petechiae or ecchymosis, the symptoms were disappeared without any treatment; 4 cases of patients showed more or less ureteral colic, the symptoms were improved through symptomatic treatment;2 cases of pa-tients were formed ureteral “stone street”, the symptom was disappeared after another extracorporeal shock wave lithotripsy; 1 case was combined with slight ureteral stricture; 2 cases had fever, the symptom was improved through antifebrile precessing; there were no other serious complications. Conclusion Extracorporeal shock wave lithotripsy in the treatment of urinary calculi has advantages of simple handling, safe and fast, exact curative effect, less side effects, and so on, which is worthy of clinical promotion and application.%目的：观察体外冲击波碎石术治疗泌尿系结石的效果。方法回顾性分析2012年1月~2014年1月在重庆市云阳县人民医院就诊的泌尿系结石患者98例的临床资料，所有患者均采用体外冲击波碎石术治疗，观察治疗效果和并发症发生情况。结果本组病例中，1次碎石排净者44例，占44.90%；2次碎石排净者30例，占30.61%；3次碎石排净者21例，占22.45%；3例经3次碎石术治疗后无效改行开放性手术治疗。疗效显示，治愈54例，好转41例，无效3例，总有效率为96.94%。并发症：术后所有患者均出现不同程度的肉眼血尿或镜下血尿，1~2d内自行消失；皮肤出现瘀点或瘀斑5例，自行缓解；4例患者出现不同程度的输尿管绞痛，对症治疗后好转；2例患者形成输尿管“石街”，经复碎治疗后消失；1例患者合并输尿管轻度狭窄；2例患者出现发热，经退热处理后好转；无其他严重并发症。结论体外冲击波碎石术治疗泌尿系结石具有操作简便、安全快捷、疗效确切、不良反应小等优点，值得临床推广应用。
展开▼
