Di Silverio F, Gallucci M, Alpi G
Department of Urology, University La Sapienza, Rome, Italy.
Br J Urol. 1990 May;65(5):449-52. doi: 10.1111/j.1464-410x.1990.tb14784.x.
Following the introduction of new techniques, the reclassification of staghorn calculi is indicated in order to establish the most suitable form of treatment. Of 269 patients with staghorn calculi treated over a 3-year period, 56% underwent extracorporeal shockwave lithotripsy (ESWL) monotherapy; 16% required open surgery and the remaining 28% underwent percutaneous nephrolithotripsy (PCNL) with ultrasound in association with ESWL. The latter group has been reviewed, taking into account invasiveness, results, complications and cost effectiveness. A combination of PCNL and ESWL was beneficial in patients in whom percutaneous access through a single tract removed more than 70% of the stone. As a result of these findings, the authors propose a revised classification of staghorn calculi.
随着新技术的引入，为了确定最合适的治疗方式，鹿角形结石的重新分类很有必要。在3年期间接受治疗的269例鹿角形结石患者中，56%接受了体外冲击波碎石术（ESWL）单一疗法；16%需要开放手术，其余28%接受了经皮肾镜取石术（PCNL）联合超声与ESWL。考虑到侵入性、治疗效果、并发症和成本效益，对后一组进行了评估。对于通过单通道经皮穿刺能清除70%以上结石的患者，PCNL和ESWL联合治疗是有益的。基于这些发现，作者提出了鹿角形结石的修订分类。
