Isa W A, Robles J E, Aguera L G, Zudaire J J, Sanchez P L, Berian J M
Department of Urology, University Hospital of Navarra School of Medicine, Pamplona, Spain.
J Stone Dis. 1992 Jul;4(3):249-52.
Extracorporeal shock wave lithotripsy (ESWL) has proven to be effective for the treatment of renal calculi. However, its use for ureteral stones as monotherapy is controversial. In this study, 142 patients underwent in situ ESWL for ureteral stones. Stone fragmentation was achieved in 87.4% of the patients. Stone clearance rate at 3 months was 95.8%, 94.7%, and 94.2% for stones located in upper, middle, and lower ureter, respectively. Efficiency quotient calculated for the overall stone clearance at 15 days, 1 month, and 3 months was 74.6, 71.8, and 71.7, respectively. Treatment was performed in 82.5% of patients as an outpatient procedure. Our data show that in situ monotherapy is an effective and noninvasive method for treating ureteral stones.
体外冲击波碎石术（ESWL）已被证明对治疗肾结石有效。然而，将其作为输尿管结石的单一疗法存在争议。在本研究中，142例患者接受了输尿管结石原位ESWL治疗。87.4%的患者实现了结石破碎。位于输尿管上、中、下段的结石在3个月时的结石清除率分别为95.8%、94.7%和94.2%。在15天、1个月和3个月时计算的总体结石清除效率商分别为74.6、71.8和71.7。82.5%的患者作为门诊手术进行治疗。我们的数据表明，原位单一疗法是治疗输尿管结石的一种有效且无创的方法。
