Miller K, Bachor R, Hautmann R
Urologische Klinik und Poliklinik, Universität Ulm.
Urologe A. 1988 May;27(3):135-8.
Shockwave lithotripsy of ureteral or calyceal calculi covered by the bony pelvis and of anteriorly located stones, such as calculi in horseshoe kidneys or the common bile duct, requires ventral introduction of the shockwave into the body. Eleven patients underwent ESWL in the prone position for the aforementioned indications. All treatments were performed with the Dornier HM3 lithotripter, which allows prone positioning of the patient without technical modification of the stretcher. ESWL was successful in all patients, one requiring a second session for complete stone disintegration. Thus, the possibility of shockwave lithotripsy with the patient in the prone position allows further extension of the indications for noninvasive treatment of calculi.
对于被骨盆覆盖的输尿管或肾盏结石以及位于前方的结石,如马蹄肾或胆总管结石,冲击波碎石术需要将冲击波经腹侧引入体内。11例患者因上述适应证在俯卧位接受了体外冲击波碎石术(ESWL)。所有治疗均使用多尼尔HM3碎石机进行,该碎石机可使患者俯卧,无需对担架进行技术改造。所有患者的ESWL均获成功,1例患者需要进行第二次治疗以实现结石完全碎裂。因此,患者处于俯卧位进行冲击波碎石术的可能性使得结石非侵入性治疗的适应证得以进一步扩展。