Lopatkin N A, Dzeranov N K, Beshliev D A, Moskalenko S A, Kazachenko A V, Zakharikov S V
Urol Nefrol (Mosk). 1999 Jan-Feb(1):12-6.
The authors analyze the results of ESWL (URAT-P unit) for urolithiasis performed in 106 patients (49 females and 57 males) aged 16-67 years with anomalous kidneys and upper urinary tracts. 28, 1, 11, 14, 24, 4, 22 and 2 patients had horseshoe, L-shape, solitary, lumbar distopic, double, sponge, cystic kidneys, congenital megacallicosis, respectively. The stones ranged in size from 7 to 30 mm. Bilateral urolithiasis was in 7 patients. The number of impulses averaged 1745 +/- 168.4 per the procedure. The average number of ESWL procedures per stone was 1.4 (1-4). The stones were completely eliminated after one ESWL session in 78(73.6) patients, after two sessions in 23(21.7%) patients, after three sessions in 4, after for in 1 patient. Complications developed in 18 patients: urinary tract obstruction and attack of acute pyelonephritis (15 and 3 patients, respectively). Within 2-10-year follow-up recurrences arose in 12 patients who were retreated. Thus, ESWL is a method of choice in the treatment of urolithiasis patients with malformations of the kidneys and upper urinary tracts. Good results of ESWL are achieved in strict adherence to principles of the patients' selection, preoperative preparation technique, individual approach to patients in postoperative period, follow-up to detect complications and recurrences.
作者分析了106例年龄在16至67岁、患有肾脏和上尿路异常的尿石症患者（49名女性和57名男性）接受体外冲击波碎石术（URAT - P设备）的结果。其中分别有28例、1例、11例、14例、24例、4例、22例和2例患者患有马蹄肾、L形肾、孤立肾、低位异位肾、重复肾、海绵肾、多囊肾、先天性巨输尿管症。结石大小在7至30毫米之间。7例患者为双侧尿石症。每次手术的平均冲击次数为1745±168.4次。每颗结石平均接受体外冲击波碎石术的次数为1.4次（1至4次）。78例（73.6%）患者在一次体外冲击波碎石术后结石完全清除，23例（21.7%）患者在两次术后清除，4例在三次术后清除，1例在四次术后清除。18例患者出现并发症：尿路梗阻和急性肾盂肾炎发作（分别为15例和3例）。在2至10年的随访中，12例接受再次治疗的患者出现复发。因此，体外冲击波碎石术是治疗患有肾脏和上尿路畸形的尿石症患者的首选方法。严格遵循患者选择原则、术前准备技术、术后对患者的个体化处理方法、随访以检测并发症和复发情况，可取得良好的体外冲击波碎石术治疗效果。
