Böhle A, Knipper A, Thomas S
Department of Urology, Medical University of Lübeck, West Germany.
Scand J Urol Nephrol. 1989;23(2):137-40. doi: 10.3109/00365598909180828.
24 children with urolithiasis of the upper urinary tract were treated by extracorporeal shock wave lithotripsy (ESWL). In all patients sufficient stone disintegration could be achieved by an average of 950 shock waves. Percutaneous nephrostomy was required for "Steinstrasse" ureteral obstruction in 2 cases. At discharge from hospital 16 children were considered stone-free. Follow-up showed 90% of the children to be stone-free without recurrence (mean 20 months). The necessary precautions considered, ESWL is the method of choice for treatment of urolithiasis of the upper urinary tract in children. The long term effects of ESWL on the juvenile kidney have yet to be observed.
24例上尿路结石患儿接受了体外冲击波碎石术（ESWL）治疗。所有患者平均经950次冲击波治疗后结石均能充分碎裂。2例因“石街”性输尿管梗阻而行经皮肾造瘘术。出院时16例患儿结石清除。随访显示90%的患儿结石清除且无复发（平均20个月）。考虑到必要的预防措施，ESWL是治疗儿童上尿路结石的首选方法。ESWL对青少年肾脏的长期影响尚有待观察。
