Kraebber D M, Torres S A
Department of Urology, Memorial Medical Center, Savannah, Ga. 31403-3089.
South Med J. 1988 Jan;81(1):48-51. doi: 10.1097/00007611-198801000-00010.
We reviewed the first 100 consecutive patients treated with extracorporeal shock wave lithotripsy (ESWL) at one institution. A total of 115 treatments were delivered to 58 men and 42 women. Patients with calculi of various sizes were treated and compared for (1) length of hospitalization, (2) ancillary procedures, (3) repeat ESWL, (4) obstructive complications, (5) parenteral analgesic requirements, and (6) stone-free rate. Patients were grouped according to calculus length. Group A consisted of 76 patients with calculi totaling less than 3 cm. Group B contained 24 patients with calculi totaling more than 3 cm. In group A, 96% required a single ESWL procedure. Hospitalization averaged two days, and none had obstructive complications; 33% required no parenteral analgesics. In group B, 58% received a single ESWL treatment, whereas 88% required ancillary procedures. Results showed extracorporeal shock wave lithotripsy to be effective treatment of urinary calculi measuring less than 3 cm. Larger calculi required combinations of ESWL with other endourologic treatment.
我们回顾了某机构连续接受体外冲击波碎石术（ESWL）治疗的首批100例患者。共对58名男性和42名女性进行了115次治疗。对各种大小结石的患者进行治疗，并比较其（1）住院时间、（2）辅助程序、（3）再次ESWL治疗、（4）梗阻性并发症、（5）胃肠外镇痛需求以及（6）结石清除率。患者根据结石长度分组。A组由76例结石总长度小于3 cm的患者组成。B组包含24例结石总长度大于3 cm的患者。A组中，96%的患者只需进行一次ESWL治疗。平均住院时间为两天，且无一例发生梗阻性并发症；33%的患者无需胃肠外镇痛。B组中，58%的患者接受了单次ESWL治疗，而88%的患者需要辅助程序。结果表明，体外冲击波碎石术是治疗长度小于3 cm的尿路结石的有效方法。较大的结石需要ESWL与其他腔内泌尿外科治疗方法联合使用。
