Ziegelbaum M, Kandel L B
Department of Urology, State University of New York at Stony Brook.
J Lithotr Stone Dis. 1990 Jan;2(1):35-8.
We have used electrohydraulic lithotripsy for the treatment of ureteral calculi in a total of 29 patients. By combining the use of a 3.0 Fr electrode and a 9.5 Fr rigid ureteroscope, we have been able to successfully treat the majority of our patients with ureteral calculi. Bypass stenting of obstructing ureteral stones aided in access and effectiveness of ureteroscopy and endoscopic lithotripsy. The success rate in our series of 30 primary treatments was 80%; failures were primarily related to stone composition. In summary, we have found electrohydraulic lithotripsy of ureteral calculi to be a safe and effective treatment modality and routinely used it for stones throughout the length of the ureter that were either impacted or too large to extract primarily.
我们共对29例输尿管结石患者采用了液电碎石术。通过联合使用3.0 Fr电极和9.5 Fr硬性输尿管镜，我们成功治疗了大多数输尿管结石患者。对梗阻性输尿管结石进行旁路支架置入有助于输尿管镜检查和内镜碎石术的操作及效果。在我们的30次初次治疗系列中，成功率为80%；失败主要与结石成分有关。总之，我们发现输尿管结石液电碎石术是一种安全有效的治疗方式，并常规用于治疗输尿管全程嵌顿或过大无法直接取出的结石。
