[体外冲击波碎石术治疗马蹄肾尿路结石的经验]

[Experience of extracorporeal shock-wave lithotripsy for the urolithiasis in horseshoe kidney].

作者信息

Ohyama A, Asai Y, Ameno Y, Sakakura T, Sugita O, Kamizuru M, Sakamoto W, Nakatani T, Kishimoto T, Maekawa M

机构信息

Department of Urology, Osaka City University Medical School.

出版信息

Hinyokika Kiyo. 1991 Dec;37(12):1627-31.

PMID:1785385

Abstract

At Osaka City University, 1,987 patients with urolithiasis have been treated by extra-corporeal shockwave lithotripsy (ESWL) during a four-year period. We treated 5 patients with horseshoe kidney and the obtained results were analyzed retrospectively. Three of these patients, who had a solitary stone could successfully be treated by ESWL as monotherapy. One who had multiple stones required transurethral lithotripsy after ESWL due to stone-street. The remaining 1 patient who had undergone heminephrectomy developed perirenal hematoma after ESWL, which spontaneously disappeared without any specific treatment. We discuss the special care related to the use of ESWL in the horseshoe kidney.

摘要

在大阪市立大学，四年期间有1987例尿石症患者接受了体外冲击波碎石术（ESWL）治疗。我们治疗了5例马蹄肾患者，并对所得结果进行了回顾性分析。其中3例患有单个结石的患者可通过ESWL单一疗法成功治疗。1例患有多发结石的患者因石街形成，在ESWL后需要经尿道碎石术。其余1例接受了半肾切除术的患者在ESWL后出现肾周血肿，未经任何特殊治疗自行消失。我们讨论了与马蹄肾患者使用ESWL相关的特殊护理。