Jocham D, Liedl B, Lunz C, Schuster C, Chaussy C
Urologische Klinik, LM-Universität München.
Urologe A. 1989 May;28(3):134-7.
A report is given on the experience we have had over a period of up to 7 years following ESWL treatment in urinary stone patients. 131I-hippuran clearance studies were conducted on 19 patients prior to and 6.6 years subsequent to ESWL. There was no evidence of any degree of deterioration in total renal function or of any form of dysfunction in the kidney treated. Follow-up examinations on 247 patients showed a 7% recurrent stone rate within a period of 3.6 years following ESWL. In 16% of the cases, residual concretions were found 6 months after ESWL, only 4% of which were larger than 5 mm in diameter. In 22%, concretions were discovered 3.6 years after ESWL 36% of which were larger than 5 mm. This size increase in the fragments accounts for the stone growth.
本文报告了我们对尿路结石患者进行体外冲击波碎石术（ESWL）治疗后长达7年的经验。对19例患者在ESWL治疗前和治疗后6.6年进行了131I-马尿酸清除率研究。没有证据表明总肾功能有任何程度的恶化，或治疗的肾脏有任何形式的功能障碍。对247例患者的随访检查显示，ESWL治疗后3.6年内结石复发率为7%。在16%的病例中，ESWL治疗6个月后发现残留结石，其中只有4%的直径大于5毫米。在22%的病例中，ESWL治疗3.6年后发现结石，其中36%的直径大于5毫米。碎片的这种尺寸增加导致了结石的生长。
