Spirnak J P, DeBaz B P, Green H Y, Resnick M I
Division of Urology, Case Western Reserve University School of Medicine, Cleveland, Ohio.
J Urol. 1988 Dec;140(6):1356-9. doi: 10.1016/s0022-5347(17)42043-x.
Ten patients with complex struvite stones were treated successfully with primary extracorporeal shock wave lithotripsy followed by chemolysis with 10 per cent hemiacidrin renal irrigation. The average number of treatments per renal unit was 1.2 and an average of 2,688 shocks was administered per treatment. No patient required a blood transfusion. Ureteral obstruction did not occur in those patients receiving planned hemiacidrin irrigation immediately after extracorporeal shock wave lithotripsy. At 6-week followup 9 patients were free of residual fragments. The combination of extracorporeal shock wave lithotripsy and hemiacidrin chemolysis represents a satisfactory alternative to the traditional surgical management of complex struvite calculi.
十例患有复杂鸟粪石结石的患者接受了初次体外冲击波碎石术，随后用10%半胱氨酸肾灌注进行化学溶解，治疗成功。每个肾单位的平均治疗次数为1.2次，每次治疗平均施加2688次冲击波。没有患者需要输血。在体外冲击波碎石术后立即接受计划中的半胱氨酸灌注的患者中未发生输尿管梗阻。在6周的随访中，9名患者没有残留碎片。体外冲击波碎石术和半胱氨酸化学溶解的联合治疗是复杂鸟粪石结石传统手术治疗的一种令人满意的替代方法。
