Thomas R, Cherry R, Neal D W
Department of Urology, Tulane University School of Medicine, New Orleans, Louisiana.
J Urol. 1991 Aug;146(2):409-10. doi: 10.1016/s0022-5347(17)37808-4.
Extracorporeal shock wave lithotripsy (ESWL*) has revolutionized management of most patients with urolithiasis. The effect of ESWL on patients with an aortic aneurysm is unknown and its safety is questioned by the absence of any case reports in the urological literature. A 68-year-old man with an abdominal aortic aneurysm underwent successful ESWL using the Medstone STS 1050 lithotriptor for right renal calculi. Continuous monitoring of the aneurysm was done using real-time ultrasound during the ESWL treatment. Careful preoperative evaluation in conjunction with appropriate intraoperative and postoperative monitoring makes ESWL management of patients with associated aortic aneurysm possible.
体外冲击波碎石术（ESWL*）彻底改变了大多数尿石症患者的治疗方式。ESWL对腹主动脉瘤患者的影响尚不清楚，且由于泌尿外科文献中没有任何病例报告，其安全性受到质疑。一名患有腹主动脉瘤的68岁男性使用Medstone STS 1050碎石机成功进行了右侧肾结石的ESWL治疗。在ESWL治疗期间，使用实时超声对动脉瘤进行持续监测。术前仔细评估并结合适当的术中及术后监测，使得对合并主动脉瘤的患者进行ESWL治疗成为可能。
