University of British Columbia, Level 6 - 2775 Laurel St., Vancouver, BC, V5Z 1M9, Canada.
University of Toronto, Ontario, Canada.
World J Urol. 2017 Sep;35(9):1347-1351. doi: 10.1007/s00345-017-2057-x. Epub 2017 Jun 12.
Intracorporeal lithotripsy is becoming the most commonly used surgical method of stone treatment in Urology. The five major types of intracorporeal lithotripters are ultrasonic, ballistic, and combination lithotripters as well as laser and electrohydraulic lithotripters. The advantages and disadvantages of choosing each of these treatment modalities are reviewed.
Extensive review of literature was performed to identify the types of intracorporeal lithotripters. An investigation was undertaken of the early development of each modality of intracorporeal lithotripsy and/or the mechanism of action. Challenges of each technique were identified and presented. Finally, a determination was made of how these lithotripters compare on the basis of effectiveness of action and cost based on information provided in primary literature as well as previous reviews of these modalities.
Contemporary lithotripters have found widespread use in the management of urinary lithiasis. Holmium laser lithotripsy has become one of the most commonly used tools for intracorporeal lithotripsy.
There is a wide variety of intracorporeal lithotripters which can be chosen based on the characteristics of each modality and the requirements of the urologist.
腔内碎石术正成为泌尿外科中治疗结石最常用的手术方法。腔内碎石机的五种主要类型是超声、弹道和联合碎石机以及激光和液电碎石机。本文回顾了每种治疗方式的优缺点。
广泛查阅文献，确定腔内碎石机的类型。对每种腔内碎石术的早期发展模式和/或作用机制进行了研究。确定了每种技术的挑战，并提出了相应的解决方案。最后，根据主要文献和对这些方法的先前综述中提供的信息，基于作用的有效性和成本，确定了这些碎石机的比较结果。
现代碎石机已广泛应用于尿路结石的治疗。钬激光碎石术已成为腔内碎石术最常用的工具之一。
根据每种方式的特点和泌尿科医生的要求，可以选择多种腔内碎石机。
