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目的探论输尿管结石体外冲击波碎石的治疗效果。方法回顾性分析2004～2008年输尿管结石患者行体外冲击波治疗的效果。结果837例输尿管结石成功803例(95.93%),其中一次成功773例(90.32%),有效18例(2.13%),无效8例(0.95%)。8例均转入外科行输尿管镜腔内钬激光碎石或外科手术治疗。结论体外冲击波碎石对于治疗输尿管结石效果满意。ESWL具有定位准确,成功率高,组织损伤小,无严重的并发症等特点,ESWL仍应作为治疗输尿管结石的首选方法。
Objective To investigate the therapeutic effect of extracorporeal shock wave lithotripsy in ureteral calculi. Methods The effect of external shock wave therapy on patients with ureteral calculi during 2004-2008 was analyzed retrospectively. Results The success rate of ureteral calculi in 837 cases was 803 cases (95.93%), of which 773 cases (90.32%) were successful, 18 cases (2.13%) were effective and 8 cases (0.95%) were invalid. 8 cases were transferred to the surgical ureteroscopic holmium laser lithotripsy or surgical treatment. Conclusion Extracorporeal shock wave lithotripsy is satisfactory for the treatment of ureteral calculi. ESWL with accurate positioning, high success rate, tissue damage, no serious complications and other characteristics, ESWL should still be the preferred method of treatment of ureteral calculi.