Vandeursen H, Baert L
Department of Urology, University Hospital, St. Pieter, Leuven, Belgium.
J Urol. 1990 Jan;143(1):18-9. doi: 10.1016/s0022-5347(17)39851-8.
Between June 1987 and April 1989 a total of 4,500 extracorporeal shock wave lithotripsy treatments was performed in our department with the Siemens Lithostar lithotriptor. Renal (pelvic, caliceal and staghorn stones), ureteral and even bladder calculi can be treated by means of a system of fluoroscopic detection and electromagnetic shock wave generation. The treatments are performed without the use of anesthesia and on an outpatient basis. Hospitalization is indicated whenever underlying infectious stone disorders are suspected (associated urinary tract infection or infected calculi). Initial experience in the first 10 patients with bladder stones treated by electromagnetic extracorporeal shock wave lithotripsy monotherapy is reported. All stones disintegrated after 1 treatment, except in a patient with 2 bladder stones who required 2 sessions. Mean treatment duration was 53 minutes. Mean number of shock waves was 3,600 and electrical discharge averaged 20.2 kv. per shock wave. Minute fragmentation was obtained and uncomplicated evacuation occurred without the need for adjuvant procedures, even in the presence of prostatic hypertrophy (2 patients) or neurogenic bladder dysfunction (3). No morbidity during or after treatment was encountered in these 10 patients.
1987年6月至1989年4月期间，我们科室使用西门子Lithostar碎石机共进行了4500次体外冲击波碎石治疗。通过荧光透视检测和电磁冲击波发生系统，可治疗肾（肾盂、肾盏和鹿角形结石）、输尿管甚至膀胱结石。治疗无需麻醉，在门诊进行。当怀疑存在潜在感染性结石疾病（相关尿路感染或感染性结石）时，则需要住院治疗。本文报告了最初10例接受电磁体外冲击波碎石单一疗法治疗膀胱结石患者的经验。除1例患有2枚膀胱结石的患者需要2次治疗外，所有结石经1次治疗后均破碎。平均治疗时间为53分钟。平均冲击波次数为3600次，每次冲击波的平均放电电压为20.2千伏。即使存在前列腺增生（2例患者）或神经源性膀胱功能障碍（3例患者），也能实现微小碎片化，且无需辅助操作即可顺利排出结石，未出现并发症。这10例患者在治疗期间及治疗后均未出现不良反应。
