Tiselius H G, Pettersson B, Andersson A
Department of Urology, University Hospital, Linköping, Sweden.
J Urol. 1989 Feb;141(2):280-2. doi: 10.1016/s0022-5347(17)40740-3.
We treated successfully 16 patients with stones in the mid ureter, that is overlying the pelvic bone, in the prone position with a Dornier HM3 lithotriptor. The lithotriptor was equipped with the original reflector and generator system, and all treatments were performed with only surface anesthesia of the skin and premedication with pethidine chloride and diazepam. Between 1 and 3 sessions were necessary with up to 2,000 shock waves at each session. The generator voltage was varied between 14 and 18 kv. After completion of extracorporeal shock wave lithotripsy all patients became free of stones without ureteroscopy or transureteral manipulation except for a ureteral catheter and fluid irrigation during treatment.
我们采用多尼尔HM3体外冲击波碎石机，让16例输尿管中段（即位于骨盆上方）结石患者俯卧位，成功进行了治疗。该碎石机配备了原装反射器和发生器系统，所有治疗仅在皮肤表面麻醉，并使用盐酸哌替啶和地西泮进行术前用药。治疗需要进行1至3个疗程，每个疗程最多发射2000次冲击波。发生器电压在14至18千伏之间变化。体外冲击波碎石术后，除治疗期间留置输尿管导管和进行液体冲洗外，所有患者无需输尿管镜检查或经输尿管操作即排出结石。
