Keeler L L, McNamara T C, Dorey F O, Milsten R
Mid-Atlantic Stone Center, Marlton, NJ 08053.
J Lithotr Stone Dis. 1991 Apr;3(2):176-81.
Thirty-six patients with radiopaque calculi in the segment of the ureter overlying the sacrum, were treated in the prone position with an unmodified Dornier HM-3 lithotripter. Thirty-one treatments were successful and five failed for a success rate of 86%. Success is defined as the absence of fragments on KUB. The five failures were all removed ureteroscopically. Epidural anesthesia was used for all cases. A post-extracorporeal shock wave lithotripter (post-ESWL) gastrointestinal (GI) bleeding episode, and an upper ureteral extravasation post-ESWL, as well as two patients who could not tolerate the position are discussed.
36例骶骨上方输尿管段存在不透X线结石的患者，采用未改良的多尼尔HM-3型体外冲击波碎石机，以俯卧位进行治疗。31次治疗成功，5次失败，成功率为86%。成功定义为腹部平片（KUB）上无结石碎片残留。5例失败患者均通过输尿管镜取出结石。所有病例均采用硬膜外麻醉。讨论了1例体外冲击波碎石术后（ESWL）胃肠道（GI）出血事件、1例ESWL术后输尿管上段外渗，以及2例无法耐受该体位的患者。
