Smith L H, Drach G, Hall P, Lingeman J, Preminger G, Resnick M I, Segura J W
Division of Nephrology, Mayo Medical School and Clinic, Rochester, Minnesota.
Am J Med. 1991 Dec;91(6):635-41. doi: 10.1016/0002-9343(91)90217-l.
This decade has witnessed dramatic advances in the surgical management of urinary calculi. Today, most stones can be removed by minimally invasive means. In fact, the treatment of choice in 60% to 90% of patients with renal and ureteral calculi that need to be surgically removed is extracorporeal shock wave lithotripsy (ESWL). This article reviews indications for ESWL and discusses deleterious effects of ESWL.
这十年见证了尿石症外科治疗的巨大进展。如今,大多数结石都可以通过微创手段取出。事实上,在60%至90%需要手术取出的肾和输尿管结石患者中,首选的治疗方法是体外冲击波碎石术(ESWL)。本文回顾了ESWL的适应症,并讨论了ESWL的有害影响。