Cirot T, Ouegnin G A, Tobelem G, Thomas J, Cressey C, Arvis G
Service d'Urologie, Hôpital Saint-Antoine, Paris.
Ann Urol (Paris). 1990;24(6):495-9.
The authors report a series of twenty patients with pelvic ureteric stones treated by the Dornier lithotriptor. Sixteen men and 4 women were treated over a period of 8 months (November 1988 and June 1989). A single treatment session was sufficient to ensure destruction and elimination of the stones. This technique, which does not require anaesthesia, but at most simple neuroleptanalgesia, has a low morbidity (15%). In the series of 20 patients: the stones were completely eliminated in 16 cases, 1 case was a failure at 3 months and 3 patients were not reviewed. These results are assessed with a minimum follow-up of three months and a maximum follow-up of eight months. This simple, rapide, repeatable and effective therapeutic technique appears to constitute an alternative to operative endoscopy (flexible or rigid ureteroscopy) in the treatment of stones of the pelvic ureter.
作者报告了一组20例采用多尼尔碎石机治疗盆腔输尿管结石的患者。在8个月(1988年11月至1989年6月)期间,共治疗了16名男性和4名女性。单次治疗就足以确保结石被击碎并排出。这种技术不需要麻醉,至多只需简单的神经安定镇痛,发病率较低(15%)。在这20例患者中:16例结石完全排出,1例在3个月时治疗失败,3例未接受复查。这些结果是在至少3个月、最长8个月的随访期内评估得出的。这种简单、快速、可重复且有效的治疗技术似乎构成了盆腔输尿管结石治疗中手术内镜检查(软性或硬性输尿管镜检查)的一种替代方法。