Lockefeer J H
Ned Tijdschr Geneeskd. 1989 Jul 8;133(27):1350-2.
The recently published advice of the Health Council of The Netherlands concerning urolithiasis can be divided in three chapters i.e. treatment, research and recent developments. The treatment with extracorporeal shockwave lithotripsy is considered the treatment of choice in 95% of patients with urolithiasis. The shockwave treatment has to be performed in centres with specialized know-how and facilities for basic and clinical research. The estimated number of extracorporeal shockwave lithotriptors in The Netherlands necessary for treatment of ca. 5400 patients per year with renal stones who are the most likely candidates for lithotripsy is at six. To prevent recurrent stone-forming in most patients metaphylactic therapy is indicated as well. At the moment lithotripsy of gallstones and treatment of kidney stones by means of lasers are in an experimental stage.
荷兰卫生委员会最近发布的关于尿路结石的建议可分为三个章节，即治疗、研究和最新进展。体外冲击波碎石术被认为是95%尿路结石患者的首选治疗方法。冲击波治疗必须在具备基础和临床研究专业知识及设施的中心进行。荷兰每年大约有5400名肾结石患者最适合接受碎石术，估计所需的体外冲击波碎石机数量为六台。为防止大多数患者结石复发，也需要进行预防性治疗。目前，胆结石的碎石术和激光治疗肾结石尚处于实验阶段。
