Effect of extracorporeal shock-wave lithotripsy on residual stones after different methods of surgery
- VernacularTitle:体外冲击波碎石治疗不同术式术后残留肾结石的疗效
- Author:
Lianping ZHANG
;
Fenghua PENG
;
Luoyan YANG
;
Xiaokun ZHAO
;
Jinrui YANG
;
Xuanzhi ZHANG
- Publication Type:Journal Article
- Keywords:
residual stones;
extracorporeal shock wave lithotripsy;
therapeutic effect
- From:
Journal of Central South University(Medical Sciences)
2009;34(7):634-637
- CountryChina
- Language:Chinese
-
Abstract:
Objective To observe the effect of extraeorporeal shock wave lithotripsy (ESWL) on residual stones after different methods of surgery. Methods Clinical resources of 100 patients with residual stones after different methods of surgery treated with extracorporeal shock wave lithotripsy from May 2006 to May 2008 were retrospeetively studied. Of the 100 patients, ureteroscopic laser lithotripsy was used for 15 patients (Group Ⅰ) , ureteroscopic pneumatic lithotripsy was used for 25 (Group Ⅱ), mini-percutaneous nephrolithotomy (MPCNL) with holmium laser for 11 (Group Ⅲ), mini-percutaneous nephrolithotomy (MPCNL) with airpressure path lithotripterfor 12 (Group Ⅳ) , open surgery for the other 37 (Group Ⅴ). Results About 94% of the residual stones were shattered, and 86 % of the residual stones were cleared successfully. The clearance rate of residual stones from Group Ⅰ to Ⅴ was 100% , 100% , 81.8% , 83.3% , and 73.0% , respectively. The clearance rate of residual stones in Group Ⅰ + Ⅱ was higher than that of Group Ⅲ + Ⅳ and Group V (P<0.05). Conclusion Extracorporeal shock wave lithotripsy is good for the treatmentof residual stones after different methods of surgery, especially the management of residual stones after trans-urethral ureteroscope technique.
