Simone M, Carluccio G, Daniele C, Russo G R, Romano A, Reggiani A
Divisione Urologica, Arcispedale S. Anna, Ferrara.
Arch Ital Urol Nefrol Androl. 1992 Dec;64(4):305-8.
The authors report their initial results in ESWL of urinary calculi with the Storz Modulith SL 20 lithotriptor, a multipurpose device for both urinary and biliary stone treatment. During 176 sessions, a total of 144 cases (81 renal and 63 ureteral) were treated and then, followed up. The over-all rate free of stones was 86.8% (90.1% for kidney and for ureteral stones). The treatment rate was 1.23 per patient. Auxiliary procedures before ESWL were performed in 7.9% of the sessions: insertion of "double-J" stent or nephrostomy tube; all ureteral stones received "in situ" treatment. Mean number of shock waves per session was 1836.1 (range 300-3020). The maximum voltage on the average reached was 17.1 kv. Sedo-analgesia by Diazepam and Ketoprofen was given in 75% of the cases. No serious complications were observed. The experience with this machine is discussed in regard to performance; the advantages of its fluoroscopy and ultrasound guided system of focusing are stressed.
作者报告了他们使用Storz Modulith SL 20碎石机进行尿路结石体外冲击波碎石术（ESWL）的初步结果，该碎石机是一种用于治疗尿路结石和胆结石的多功能设备。在176次治疗过程中，共治疗了144例患者（81例肾结石和63例输尿管结石），随后进行了随访。结石清除率总体为86.8%（肾结石和输尿管结石的清除率均为90.1%）。每位患者的治疗次数为1.23次。7.9%的治疗过程在ESWL前进行了辅助操作：插入“双J”支架或肾造瘘管；所有输尿管结石均采用“原位”治疗。每次治疗的平均冲击波次数为1836.1次（范围为300 - 3020次）。平均达到的最大电压为17.1千伏。75%的病例采用地西泮和酮洛芬进行镇静镇痛。未观察到严重并发症。本文讨论了该设备的性能，并强调了其荧光透视和超声引导聚焦系统的优点。
