本文選題：體外沖擊波碎石 + 腎結(jié)石　； 參考：《實(shí)用醫(yī)學(xué)雜志》2017年11期

【摘要】：目的:觀察體外沖擊波碎石對(duì)不同部位腎結(jié)石非靶區(qū)的影響。方法:將6 149例腎結(jié)石患者分為腎上盞結(jié)石組、腎中盞結(jié)石組和腎下盞結(jié)石組,對(duì)比分析不同部位腎結(jié)石非靶區(qū)的腎臟CT灌注圖像參數(shù)、排石成功率及并發(fā)癥率差異。結(jié)果:體外沖擊波碎石術(shù)均對(duì)結(jié)石患者術(shù)后腎結(jié)石非靶區(qū)均有所損傷,且體外沖擊波能量大于11 k V時(shí)腎損傷程度迅速提升;E9能量波碎石的排石成功率明顯高于E≥9能量波碎石,E≥11能量波碎石的并發(fā)癥率低于E11能量波碎石。結(jié)論:當(dāng)沖擊波能量在9~11 k V區(qū)間時(shí),不僅對(duì)患者非靶區(qū)損傷影響較低,而且排石成功率和并發(fā)癥發(fā)生率也較低,沖擊波能量選擇在9~11 k V區(qū)間是腎結(jié)石患者治療的最優(yōu)能量方案。
[Abstract]:Objective: to observe the effect of extracorporeal shock wave lithotripsy (ESWL) on non-target area of renal calculi. Methods: 6 149 patients with renal calculi were divided into upper calyceal calculi group, middle calyceal stone group and subrenal calyceal stone group. The parameters of renal CT perfusion, the success rate of lithotomy and the rate of complications were compared and analyzed. Results: the extracorporeal shock wave lithotripsy (ESWL) all damaged the non-target area of renal calculi in patients with calculi. When the extracorporeal shock wave energy was more than 11 kV, the degree of renal injury was increased rapidly. The success rate of E9 energy wave lithotripsy was significantly higher than that of E 鈮，

本文編號(hào)：1929418