Tan H M, Cheung H S
Subang Jaya Medical Centre, Selangor.
Med J Malaysia. 1990 Jun;45(2):113-7.
Three hundred and ninety five cases in 358 consecutive patients (male-232, female-126) with renal and ureteric stones were treated with extracorporeal shockwave lithotripsy (ESWL) from March to November 1988. They either had ESWL alone, or in combination with stone manipulation or debulking percutaneous nephrolithotripsy (PCNL). Seventy five percent of the stones were found in the pelvicalyceal system and 25% in the ureter. Seventy-six percent of the stones were less than 25mm size. Two hundred and ninety (79%) cases were followed up to three months. Two hundred and forty nine (85.9%) cases were stone free and 36 (12.4%) had residual sand less than 3mm size. Five (1.7%) cases failed to fragment with ESWL monotherapy and were salvaged by either percutaneous or ureteroscopic intervention. None of the cases required any open surgery intervention.
1988年3月至11月，对358例连续性肾和输尿管结石患者（男性232例，女性126例）共395例进行了体外冲击波碎石术（ESWL）治疗。他们要么单纯接受ESWL治疗，要么联合结石处理或减容经皮肾镜取石术（PCNL）。75%的结石位于肾盂肾盏系统，25%位于输尿管。76%的结石直径小于25mm。290例（79%）患者随访至3个月。249例（85.9%）患者结石清除，36例（12.4%）有残留结石碎片，直径小于3mm。5例（1.7%）患者ESWL单一疗法碎石失败，通过经皮或输尿管镜干预挽救。无一例患者需要开放手术干预。
