Matsuoka Y, Kobayashi T, Ishizaka K, Machida T, Oka K
Department of Urology, Kanto Central Hospital.
Hinyokika Kiyo. 2001 Oct;47(10):715-8.
Extracorporeal shock wave lithotripsy (ESWL) using ESL-500A was performed for the treatment of 18 cases of bilateral ureteral stones and 3 cases of a solitary or a functionally solitary kidney with ureteral stones from September 1991 to February 2000. Sixteen cases of the former and all 3 cases of the latter were treated by in situ ESWL, and the other 2 cases of bilateral ureteral stones were treated with auxiliary procedures. No residual stones were observed in any cases except for one of bilateral ureteral stones treated by in situ ESWL. The results show that in situ ESWL using ESL-500A seems to be useful for the treatment of bilateral ureteral stones and ureteral stones in a solitary kidney, including a functionally solitary kidney. However, auxiliary treatment will be needed in cases of urinary tract infection, undetectable stones by ultrasonography, or bilateral large stones.
1991年9月至2000年2月期间，使用ESL - 500A型体外冲击波碎石术（ESWL）治疗了18例双侧输尿管结石患者以及3例孤立肾或功能性孤立肾合并输尿管结石患者。前一组中的16例以及后一组的全部3例均采用原位ESWL治疗，另外2例双侧输尿管结石患者采用辅助手术治疗。除1例原位ESWL治疗的双侧输尿管结石患者外，其余病例均未发现残留结石。结果表明，使用ESL - 500A进行原位ESWL似乎对治疗双侧输尿管结石以及孤立肾（包括功能性孤立肾）的输尿管结石有效。然而，对于尿路感染、超声检查无法发现结石或双侧大结石的病例，需要进行辅助治疗。
