| 摘要: |
| ［摘要］ 目的 研究在B超定位下，观察体外电磁冲击波碎石（ESWL）治疗尿道结石的临床疗效。方法 回顾分析该院碎石科ESWL治疗96例尿道结石的临床疗效，观察并分析患者的体位、B超定位方法及碎石疗效。结果 男性后尿道近端结石取俯卧头低脚高位，B超定位成功率为100%，结石排净率为96.9%；男性后尿道中远端结石取骑跨位或半坐位，B超定位成功率为100%，结石排净率为92.1%；男性前尿道结石定位成功率为100%，结石排净率为100%。女性尿道结石定位成功率为100%，碎石成功率为100%。结论 根据患者尿道结石所处的位置，采用合适的治疗体位和B超定位方法是ESWL治疗尿道结石成功的关键因素。 |
| 关键词: B超定位 电磁冲击波 体外碎石 尿道结石 |
| DOI：10.3969/j.issn.1674-3806.2018.03.05 |
| 分类号:R 455 |
| 基金项目:广西贵港市科学研究与技术开发项目（编号：贵科攻1505005） |
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| B ultrasound positioning electromagnetic extracorporeal shockwave lithotripsy in treatment of urethral calculi |
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LU Xiong-jin, PANG Ye-xiao, LI Ruo-pan, et al.
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Color Ultrasonic Room, the Second People′s Hospital of Guigang City, Guangxi 537132, China
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| Abstract: |
| ［Abstract］ Objective To observe the clinical efficacy of electromagnetic extracorporeal shockwave lithotripsy(ESWL) in treatment of urethral calculi under B ultrasonic positioning.Methods The clinical data of 96 patients with urethral calculi who were treated with ESWL in our hospital were retrospectively analyzed. The patients′ positions, B ultrasonic positioning methods and lithotripsy effect were observed and analyzed.Results When males took low head and high foot posture position, the success rate of removal of posterior urethral calculi was 100%, and the stone clearance rate was 96.9%. When males took a riding position or a semi-sitting position, the success rate of removal of posterior urethral calculi was 100%, and the stone clearance rate was 92.1%. For males with posterior urethral calculi, the success rate of localization of urethral lithiasis was 100% and the stone clearance rate was 100%. For females with urethral calculi, the success rate of localization of urethral lithiasis was 100% and the stone clearance rate was 100%.Conclusion The key factors of ESWL for the successful treatment of urethral calculi is the appropriate treatment position and B ultrasonic positioning methods according to the location of the urethral calculi. |
| Key words: B ultrasonic positioning Electromagnetic wave Extracorporeal lithotripsy Urinary calculi |
