Selli C, Carini M
Department of Urology, University of Florence, Italy.
J Urol. 1988 Aug;140(2):280-2. doi: 10.1016/s0022-5347(17)41583-7.
A group of 70 patients presenting with stones in the lower third of the ureter was treated with extracorporeal shock wave lithotripsy using a Dornier HM3 lithotriptor. For adequate radiological stone visualization a sitting position was used in 68 patients, while 2 with calculi overlying the sacroiliac joint required placement in the prone position. All but 1 patient had additional endoscopic maneuvers before treatment, consisting of the passage of a Zeiss sling around the stone in 40 and, when this was not possible, a ureteral stent in 29. The over-all success rate was 94.2 per cent (66 of 70 patients) with 3 patients having retained fragments and 1 requiring an open operation. The combination of new positioning techniques and relatively simple endoscopic maneuvers makes treatment of lower ureteral stones feasible and safe with the Dornier lithotriptor.
一组70例输尿管下段结石患者接受了使用多尼尔HM3碎石机的体外冲击波碎石治疗。为了获得足够的结石放射影像学显影，68例患者采用坐位，而2例结石覆盖骶髂关节的患者需要采用俯卧位。除1例患者外，所有患者在治疗前均进行了额外的内镜操作，其中40例通过蔡司套索环绕结石，当无法进行套索操作时，29例放置输尿管支架。总体成功率为94.2%（70例患者中的66例），3例患者有残留碎片，1例需要进行开放手术。新的定位技术与相对简单的内镜操作相结合，使得使用多尼尔碎石机治疗输尿管下段结石可行且安全。
