Motola J A, Smith A D
Department of Urology, Long Island Jewish Medical Center, New Hyde Park, New York.
Urol Clin North Am. 1990 Feb;17(1):191-206.
The cry of "ESWL for all" was heard at the 84th Annual Meeting of the American Urological Association, and actually, this is not far from the truth. Those physicians who are not familiar with percutaneous techniques, or who do not have the necessary equipment available, may actually attempt ESWL for all calculi regardless of stone burden or location. Patients who are interested in avoiding manipulation may request ESWL, even if the results may not be as good as those obtained with concomitant manipulation or with percutaneous procedures. Nevertheless, indications still exist for percutaneous techniques, and these procedures will not become obsolete even as ESWL technology advances. Studies are being conducted to identify the ideal treatment for all varieties of stones in the genitourinary system. As ESWL and endoscopic technology continue to advance, the treatment of stone disease will continue to change.
在美国泌尿外科学会第84届年会上听到了“人人都做体外冲击波碎石术（ESWL）”的呼声，实际上，这离事实不远。那些不熟悉经皮技术或没有可用必要设备的医生，实际上可能会对所有结石尝试进行ESWL，而不管结石负荷或位置如何。那些希望避免手术操作的患者可能会要求进行ESWL，即使结果可能不如同时进行手术操作或经皮手术所获得的结果好。然而，经皮技术仍然有其适应证，并且即使ESWL技术不断进步，这些手术也不会过时。正在进行研究以确定泌尿生殖系统各种结石的理想治疗方法。随着ESWL和内镜技术不断进步，结石疾病的治疗将继续发生变化。
