| ESWL治疗单侧输尿管结石致肾形态缩小18例分析 |
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| 引用本文： | 刘弘展,王大太,曲龙嘉,齐颖,张茉,孙刚,冯秉华,赵艳辉.ESWL治疗单侧输尿管结石致肾形态缩小18例分析[J].临床军医杂志,2011,39(4). |
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| 作者姓名： | 刘弘展 王大太 曲龙嘉 齐颖 张茉 孙刚 冯秉华 赵艳辉 |
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| 作者单位： | 武警辽宁总队大连分院泌尿外科,辽宁,大连,116013 |
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| 摘 要： | 目的探讨输尿管结石行体外冲击波碎石术(ESWL)治疗后肾实质萎缩、远期肾形态缩小的相关因素。方法 2007年1月—2010年5月于我院行ESLW治疗单侧输尿管结石495例,术后随访6～18月,根据术前肾积水程度、结石在输尿管位置、结石在输尿管内停留时间分别分组,将各组出现肾实质萎缩肾形态缩小的情况进行比较分析。结果术后肾缩小率中度积水组大于轻度积水组、下段结石组大于上、中段结石组、结石停留时间超过3个月者组大于3个月组(均P<0.05)。结论 输尿管结石引起的中度肾积水患者行ESWL前应充分评估肾功能损害情况。避免因ESWL加重输尿管水肿而出现急性梗阻,导致肾实质萎缩,远期肾形态缩小。因此输尿管结石引起的肾中度积水的患者应尽量选择腔内碎石或手术取石。如选择ESWL术前应放置双J管并合理用药,以达到尽早通畅引流、预防肾内感染,减少肾实质萎缩及远期肾形态缩小。
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| 关 键 词： | 单侧输尿管结石 体外冲击波碎石术 肾实质萎缩 肾形态缩小 |
Analysis on 18 cases of renal diminution caused by ESWL in treating monolateral ureteral calculus |
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| Liu Hong-zhan,Wang Da-tai,Qu Long-jia,Qi Ying,Zhang Mo,Sun Gang,Feng Bing-hua,Zhao Yan-hui.Analysis on 18 cases of renal diminution caused by ESWL in treating monolateral ureteral calculus[J].Clinical Journal of Medical Officer,2011,39(4). |
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| Authors: | Liu Hong-zhan Wang Da-tai Qu Long-jia Qi Ying Zhang Mo Sun Gang Feng Bing-hua Zhao Yan-hui |
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| Affiliation: | Liu Hong-zhan,Wang Da-tai,Qu Long-jia,Qi Ying,Zhang Mo,Sun Gang,Feng Bing-hua,Zhao Yan-hui(Department of Urology,Dalian Hospital of Liaoning People's Armed Police Corps,Dalian Liaoning 116013,China) |
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| Abstract: | Objective To analyze the correlative factors of renal atrophy and long-term renal diminution caused by ESWL in treating ureteral calculus.Methods 495 cases of monolateral ureteral calculus who received ESWL in our hospital from January 2007 to May 2010 and followed up for 6-18 months were grouped according to the degree of preoperative hydronephrosis,location of ureteral stone and residence time of ureteral stone.The condition of renal atrophy and renal diminution occurring in each group were compared.Resul... |
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| Keywords: | monolateral ureteral calculus ESWL renal atrophy renal diminution |
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