Montoya M D, Ibarlucea G, Tabar García P J, Sanroma I, Arrosagaray P, Jorge A, Astobieta A
Servicio de Urología, Unidad de Litotricia, Hospital de Galdácano, España.
Actas Urol Esp. 1990 Jul-Aug;14(4):264-7.
The combined utilization of transurethral ureterorenoscopy (TUR) and extracorporeal shock wave lithotripsy (ESWL) have caused a revolution in the treatment of ureteral lithiasis. We present a total 113 TUR due to ureteral lithiasis performed in period of 20 months, from March 1988 to November 1989. In the last ten months of the study we used TUR an ESWL for the treatment of ureteral lithiasis. Results show success in 92.93% of the treatments; 8 cases of open surgery (7.07%), five of these were performed during the first 10 months of the study, when ESWL was not available, with only 2 serious complications (1.75%) and one death due to massive pulmonary embolism. TUR is an unsubstitutable technique for the treatment of ureteral lithiasis and when combined with ESWL obtains optimum results. It is our technique of choice in all cases non susceptible to treatment with in situ ESWL due to the impossibility of locating the lithiasis without auxiliary endourological manoeuvres.
经尿道输尿管肾镜检查（TUR）与体外冲击波碎石术（ESWL）的联合应用给输尿管结石的治疗带来了一场变革。我们展示了从1988年3月至1989年11月的20个月期间，因输尿管结石而进行的总共113例经尿道输尿管肾镜检查。在研究的最后十个月，我们使用经尿道输尿管肾镜检查和体外冲击波碎石术来治疗输尿管结石。结果显示，92.93%的治疗取得成功；8例进行了开放手术（7.07%），其中5例是在研究的前10个月进行的，当时没有体外冲击波碎石术，仅有2例严重并发症（1.75%），1例因大面积肺栓塞死亡。经尿道输尿管肾镜检查是治疗输尿管结石不可替代的技术，与体外冲击波碎石术联合使用可获得最佳效果。对于所有因无法通过辅助腔内泌尿外科操作定位结石而不能采用原位体外冲击波碎石术治疗的病例，这是我们首选的技术。
