EXTRACORPOREAL SHOCK-WAVE LITHOTRIPSY - THE METHODIST-HOSPITAL OF INDIANA EXPERIENCE
EXTRACORPOREAL SHOCK-WAVE LITHOTRIPSY - THE METHODIST-HOSPITAL OF INDIANA EXPERIENCE
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DOI：
10.1016/s0022-5347(17)46016-2
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发表时间：
1986-06-01
影响因子：
6.6
通讯作者：
WOODS, JR
中科院分区：
文献类型：
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作者：
LINGEMAN, JE;NEWMAN, D;WOODS, JR
1984年2月23日至12月17日，共982例患者接受体外冲击波碎石术治疗上尿路结石1416例。90%的病人接受了一次治疗。发病率极低，住院时间短（3.0 d）。13%的患者需要辅助手术。在3个月的随访中，72%的肾脏没有结石，而23%的肾脏含有小的（小于5毫米），无症状的碎片，据信可以自发通过。只有1%的患者需要手术切除结石。发病率与结石负担直接相关，而结果与结石负担负相关。体外冲击波碎石是治疗有症状的输尿管上段结石和直径小于2厘米的肾结石的首选方法。
A total of 982 patients underwent 1,416 treatments with extracorporeal shock wave lithotripsy for upper urinary tract calculi between February 23 and December 17, 1984. A single treatment was performed in 90 per cent of the patients. Morbidity was extremely low and hospital stay was short (3.0 days). Adjunctive procedures were required in 13 per cent of the patients. Of the kidneys 72 per cent were free of stones at the 3-month followup, while 23 percent contained small (less than 5 mm.), asymptomatic fragments believed to be passable spontaneously. Only 1 per cent of the patients required surgical removal of the calculi. Morbidity was related directly to stone burden, while results were inversely related to stone burden. Extracorporeal shock wave lithotripsy is the preferred form of management for symptomatic upper ureteral and renal calculi less than 2 cm. in diameter.