Coptcoat M J, Webb D R, Kellet M J, Whitfield H N, Wickham J E
London Stone Clinic, UK.
Eur Urol. 1988;14(2):93-5. doi: 10.1159/000472910.
32 steinstrasse formations in the first 600 extracorporeal shockwave lithotripsy treatments required intervention. Their radiological appearance has been classified into 3 types and the aetiology of each type is discussed. 24 cases received a primary needle nephrostomy to relieve obstruction and of these 18 passed spontaneously, 5 required ureteroscopic manipulation and 1 underwent open surgery. Primary ureteroscopic removal was successful in 3 out of 5 cases. 3 upper ureteric steinstrassen were removed by a percutaneous intrarenal approach. A suggested plan of management for complicated steinstrassen is outlined.
在最初的600例体外冲击波碎石治疗中，有32例出现了石街形成，需要进行干预。对其放射学表现分为3种类型，并对每种类型的病因进行了讨论。24例患者接受了一期经皮肾穿刺造瘘术以解除梗阻，其中18例结石自行排出，5例需要输尿管镜操作，1例接受了开放手术。5例中3例一期输尿管镜取石成功。3例上段输尿管石街通过经皮肾途径取出。概述了一种针对复杂性石街的建议处理方案。
