Demirci Deniz, Altiok Erçin, Gülmez Ibrahim, Ekmekçioğlu Oğuz, Poyrazoğlu Hakan M
Department of Urology, School of Medicine, Erciyes University Medical Faculty, 38039, Kayseri, Turkey.
Int Urol Nephrol. 2006;38(2):189-92. doi: 10.1007/s11255-005-4971-x.
To assess the effectiveness of stepwise extracorporeal shock wave lithotripsy in the treatment of upper urinary stones in childhood.
Between August 1998 and August 2003, 31 patients were treated for renal or ureteric stones. All treatments were performed with Dornier Compact Delta lithotripter. The number of shock wave was limited to maximum 3000 shock waves/session. The voltage was started at 10 kV and increased stepwise to 12.75 kV. Stone clearance was assessed at 3 months. The stone free state was defined as the absence of stone fragments.
Total 31 stones (24 renal and 7 ureteral stones) were treated. The age of the patients was median 8 (min-max: 0.8-12) years. The length of the stones was median 1 (min-max: 0.5-1.5) cm for renal stones and median 0.5 (min-max: 0.5-1) cm for ureteral stones. As an auxiliary procedure, open pyelolithotomy was required for 1 patient. The overall stone free rates for renal and ureter stones were 79% and 100%, respectively. Post-treatment insignificant hematuria was observed in all cases.
Stepwise shock wave lithotripsy was an effective procedure for the treatment of urinary calculi in childhood.
评估逐步体外冲击波碎石术治疗儿童上尿路结石的有效性。
1998年8月至2003年8月期间，31例患者接受了肾或输尿管结石治疗。所有治疗均使用多尼尔Compact Delta碎石机进行。冲击波次数限制为每次最多3000次。电压从10 kV开始，逐步增加至12.75 kV。在3个月时评估结石清除情况。结石清除状态定义为无结石碎片。
共治疗31枚结石（24枚肾结石和7枚输尿管结石）。患者年龄中位数为8岁（最小-最大：0.8 - 12岁）。肾结石长度中位数为1 cm（最小-最大：0.5 - 1.5 cm），输尿管结石长度中位数为0.5 cm（最小-最大：0.5 - 1 cm）。作为辅助手术，1例患者需要进行开放性肾盂切开取石术。肾结石和输尿管结石的总体结石清除率分别为79%和100%。所有病例术后均观察到轻微血尿。
逐步冲击波碎石术是治疗儿童尿路结石的有效方法。
