Gerber Glenn S
Division of Urology, University of Chicago Medical School, Chicago, Illinois 60637, USA.
J Endourol. 2003 Sep;17(7):501-3. doi: 10.1089/089277903769013676.
A series of 205 urologists answered questions about their choice of treatment for lower-caliceal stones. The preferred approaches were extracorporeal shockwave lithotripsy (SWL) for stones <1 cm and percutaneous nephrolithotomy (PCNL) for those >2 cm. For stones of 1 to 2 cm, 65% preferred SWL and 30% would advise PCNL. Thus, SWL is recommended for lower-caliceal stones more frequently than is justified by published success rates. Continued efforts need to be made to inform practicing urologists regarding the most appropriate therapy for patients with lower-pole stones >1 cm.
205名泌尿科医生回答了关于他们对下盏结石治疗方法选择的问题。对于小于1厘米的结石，首选的方法是体外冲击波碎石术（SWL）；对于大于2厘米的结石，则首选经皮肾镜取石术（PCNL）。对于1至2厘米的结石，65%的医生首选SWL，30%的医生建议采用PCNL。因此，对于下盏结石，推荐SWL的频率高于已公布成功率所证明的合理频率。需要继续努力，让执业泌尿科医生了解对于下极结石大于1厘米的患者最合适的治疗方法。
