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目的探讨和研究体外冲击波碎石(ESWL)结合体位排石治疗经皮肾镜碎石术后残余结石的临床疗效。方法 45例经皮肾镜碎石术后残余结石患者,均采用ESWL结合体位排石进行治疗,根据结石所在部位不同调整体位,治疗结束后统计疗效。结果本次45例患者首次ESWL治疗后结石全部粉碎,随访半年,无一例患者出现腰痛、血尿等症状,复诊结石排净率为97.8%。结论体外冲击波碎石结合体位排石能够有效提高残余结石排净率,针对残余结石部位不同进行体位调整是提高疗效的重要条件。
Objective To investigate and study the clinical efficacy of extracorporeal shock wave lithotripsy (ESWL) combined with posterior stone lithotripsy in the treatment of residual stones after percutaneous nephrolithotomy. Methods Forty-five patients with residual stones after percutaneous nephrolithotomy were treated with ESWL combined with body mass. The body position was adjusted according to the location of the stones. After the treatment, the statistical effect was obtained. Results The 45 patients were all crushed stone after the first ESWL treatment, followed up for six months, none of the patients showed symptoms of back pain, hematuria, etc. The rate of referral stones was 97.8%. Conclusions Extracorporeal shock wave lithotripsy combined with body paving stone can effectively improve the residual stone removal rate. Adjusting body position for different residual stone parts is an important condition to improve curative effect.