Smith J E, Van Arsdalen K N, Hanno P M, Pollack H M
Division of Urology, Hospital of the University of Pennsylvania, Philadelphia.
J Urol. 1989 Sep;142(3):683-6. doi: 10.1016/s0022-5347(17)38852-3.
From June 1985 to November 1986, 17 patients with calculi in horseshoe kidneys presented to our hospital for evaluation and possible treatment with extracorporeal shock wave lithotripsy. Of these patients 14 were treated with extracorporeal shock wave lithotripsy; the calculi in 2 could not be localized and focused at the F2 focal point, and 1 was asymptomatic and has been followed conservatively. Four patients required repeat extracorporeal shock wave lithotripsy. Adjunctive procedures included preoperative retrograde catheter placement (5 patients), postoperative percutaneous nephrostolithotomy (1), ureteroscopy for ureteral fragments (2) and placement of a double pigtail stent (1). Of 14 patients 11 (79 per cent) have been rendered free of fragments with extracorporeal shock wave lithotripsy and adjunctive measures as needed. We conclude that most patients with calculi in a horseshoe kidney can be managed primarily with extracorporeal shock wave lithotripsy.
1985年6月至1986年11月，17例马蹄肾结石患者到我院评估并考虑行体外冲击波碎石术治疗。其中14例接受了体外冲击波碎石术；2例结石无法在F2焦点定位和聚焦，1例无症状，采取保守观察。4例患者需要重复体外冲击波碎石术。辅助治疗包括术前逆行插管（5例）、术后经皮肾镜取石术（1例）、输尿管镜处理输尿管碎片（2例）和放置双猪尾支架（1例）。14例患者中，11例（79%）经体外冲击波碎石术及必要的辅助措施后结石碎片消失。我们得出结论，大多数马蹄肾结石患者可首选体外冲击波碎石术治疗。
