Thiel U, Saschowa P
Urologische Klinik, Klinikum Berlin-Buch.
Z Urol Nephrol. 1987 Jul;80(7):401-7.
From 1975 to 1985 519 patients with urinary calculi were treated in the Urologic Clinic of the Berlin-Buch Hospitals. 57.6% of them were treated by lithotripsy and TUR-P, 14.8% by lithotripsy alone, 11.8% by stone removal and transvesical adenomectomy and 15.8% by suprapubic cystotomy only. The diagnosis of the four forms of therapy is described. The trend in the conception of treatment goes to the treatment of calculi transurethrally in combination with the simultaneous removal of the obstruction of the outflow from the urinary bladder. Since October 1985 the electrohydraulic lithotripsy has been used. Up to 1985 in 218 patients urinary calculi were crushed by means of the device Urat-1. In 190 patients (87.3%) the lithotripsy was carried out in combination with other therapeutic measures, in 153 (70.2%) a transurethral resection of the prostate gland and in 28 patients (12.9%) other transurethral interventions were performed. Postoperatively, in 7 patients complications occurred (3.2%), perforations of the urinary bladder were not seen. Taking into consideration the whole number of patients, it is reported on the advantages of the use of the electrohydraulic lithotripsy by means of the apparatus Urat-1 as an uncomplicated technique easily to be learned, which excellently may be combined with simultaneous transurethral interventions.
1975年至1985年期间，柏林-布赫医院泌尿外科诊所共治疗了519例尿石症患者。其中57.6%的患者接受了碎石术和经尿道前列腺切除术（TUR-P），14.8%仅接受了碎石术，11.8%接受了结石取出术和经膀胱腺瘤切除术，15.8%仅接受了耻骨上膀胱切开术。文中描述了这四种治疗方式的诊断情况。治疗观念的趋势是经尿道治疗结石，并同时解除膀胱流出道梗阻。自1985年10月起开始使用液电碎石术。截至1985年，使用Urat-1设备为218例患者粉碎了尿结石。在190例患者（87.3%）中，碎石术与其他治疗措施联合进行，其中153例（70.2%）进行了经尿道前列腺切除术，28例（12.9%）进行了其他经尿道干预操作。术后，7例患者出现并发症（3.2%），未见膀胱穿孔情况。综合考虑所有患者情况，报告了使用Urat-1设备进行液电碎石术的优点，即该技术操作简单、易于掌握，且能很好地与同时进行的经尿道干预操作相结合。
