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目的探讨体外冲击波碎石术(ESWL)治疗儿童泌尿系结石的临床疗效。方法回顾性分析2006～2010年47例经体外冲击波碎石术治疗的儿童泌尿结石的临床资料,其中肾盂肾盏结石19例,输尿管结石22例,膀胱结石4例,后尿道结石2例。结果结石平均清除率为95.6%,成功率为97.8%,结石残留2例(4.2%),1例无效(2.1%),改行手术治疗,无严重并发症。结论 ESWL治疗儿童泌尿系结石安全、有效,是治疗儿童泌尿系结石的首选方法。
Objective To investigate the clinical efficacy of extracorporeal shock wave lithotripsy (ESWL) in the treatment of urinary stones in children. Methods The clinical data of 47 children with urolithiasis treated with extracorporeal shock wave lithotripsy from 2006 to 2010 were analyzed retrospectively. Among them, 19 were renal pelvis calyx stones, 22 were ureteral stones, 4 were bladder stones and 2 were posterior urethral stones. Results The average removal rate of stones was 95.6%, the success rate was 97.8%, two cases of residual stones (4.2%) and one case of ineffective (2.1%) were surgically treated without serious complications. Conclusion ESWL is safe and effective in treating urolithiasis in children. It is the first choice to treat urolithiasis in children.