Knoll L D, Segura J W, Patterson D E, Leroy A J, Smith L H
Department of Urology, Mayo Clinic, Rochester, Minnesota 55905.
J Urol. 1988 Aug;140(2):246-8. doi: 10.1016/s0022-5347(17)41574-6.
From February 1983 through 1986, 15 patients (17 renal units) with cystine urinary lithiasis were treated by percutaneous ultrasonic lithotripsy. Three patients were lost to followup. Of the 13 renal units in the remaining 12 patients 7 (54 per cent) had retained stone fragments and 6 (46 per cent) were free of stones. While on medical management 7 of the 13 renal units (54 per cent) had new stones, 5 (38 per cent) remained unchanged and in 1 (8 per cent) the retained stones dissolved. The rate for reoperations was 43 per cent for the group with retained stones (3 of 7) and 17 per cent for the group that was free of calculi after percutaneous ultrasonic lithotripsy (1 of 6). Our study suggests that the optimal treatment with percutaneous ultrasonic lithotripsy should result in a patient who is free of stones.
从1983年2月至1986年，对15例（17个肾单位）胱氨酸尿石症患者进行了经皮超声碎石治疗。3例患者失访。其余12例患者的13个肾单位中，7个（54%）有残留结石碎片，6个（46%）无结石。在药物治疗期间，13个肾单位中的7个（54%）出现了新结石，5个（38%）保持不变，1个（8%）残留结石溶解。残留结石组的再次手术率为43%（7例中的3例），经皮超声碎石术后无结石组的再次手术率为17%（6例中的1例）。我们的研究表明，经皮超声碎石的最佳治疗应使患者无结石。
