Gayer G, Hertz M, Stav K, Zissin R
Department of Diagnostic Imaging, Assaf Harofeh Medical Center, Zrifin 70300, Israel.
Semin Ultrasound CT MR. 2006 Apr;27(2):139-51. doi: 10.1053/j.sult.2006.01.006.
The management of urolithiasis has radically changed over the last two decades. Open surgery has been almost completely replaced by minimally invasive procedures, mainly extracorporeal shock wave lithotripsy (ESWL) and ureteroscopy (URS). Although these treatment modalities have been proven to be very safe and effective, serious complications can occur. Prompt diagnosis is often essential and may even be lifesaving. Radiologists play an important role in this setting, since many of these complications can be readily diagnosed by imaging. Awareness of the wide spectrum of complications may be crucial in interpreting imaging studies of patients who have undergone one of these procedures. This article reviews the contemporary management of ureteric stones with ESWL and URS and illustrates the radiological findings of complications of these procedures.
在过去二十年中，尿石症的治疗方法发生了根本性的变化。开放手术几乎已完全被微创手术所取代，主要是体外冲击波碎石术（ESWL）和输尿管镜检查（URS）。尽管这些治疗方式已被证明非常安全有效，但仍可能发生严重并发症。及时诊断往往至关重要，甚至可能挽救生命。放射科医生在这种情况下发挥着重要作用，因为许多此类并发症可通过影像学检查轻易诊断出来。了解并发症的广泛范围对于解读接受过这些手术之一的患者的影像学研究可能至关重要。本文回顾了采用ESWL和URS治疗输尿管结石的当代管理方法，并阐述了这些手术并发症的放射学表现。
