Zehntner C H, Marth D, Zingg E J
Department of Urology, University of Bern, Inselspital, Switzerland.
Urology. 1991 Jul;38(1):51-3. doi: 10.1016/0090-4295(91)80013-w.
Because of the interposition of bony structures, extracorporeal shock-wave lithotripsy (ESWL) of middle or iliac ureteral calculi is not feasible in the conventional supine position. By a slight modification of the patient's couch allowing the prone positioning of the patient, 22 patients with calculi covered by bony structures were thus treated. The success rate of 95 percent without complications is promising and renders ESWL therapy as an alternative to ureteroscopic extraction of mid and iliac ureteral calculi.
由于存在骨质结构的阻挡，在传统仰卧位时，对中段或髂段输尿管结石进行体外冲击波碎石术（ESWL）是不可行的。通过对患者手术床进行轻微改造，使患者能够俯卧，从而对22例被骨质结构覆盖的结石患者进行了治疗。95%的成功率且无并发症，这一结果很有前景，使ESWL治疗成为中段和髂段输尿管结石输尿管镜取石术的一种替代方法。
