Kahnoski R J, Lingeman J E, Coury T A, Steele R E, Mosbaugh P G
J Urol. 1986 Apr;135(4):679-81. doi: 10.1016/s0022-5347(17)45817-4.
Combinations of percutaneous and extracorporeal shock wave lithotripsy were performed on 46 patients with 52 staghorn calculi. Of the renal units 15 per cent had minute residual fragments but only 9.7 per cent with struvite had residual stones. The morbidity of this combined approach is less than that of anatrophic nephrolithotomy. We believe that the majority of staghorn calculi can be removed in this manner. Nephrostolithotomy should be the initial procedure in most instances. This less invasive approach is especially advantageous in patients at high risk for recurrence.
对46例患有52枚鹿角形结石的患者进行了经皮和体外冲击波碎石术联合治疗。在这些肾单位中，15%有微小残留碎片，但只有9.7%的感染性结石患者有残留结石。这种联合治疗方法的发病率低于无萎缩性肾切开取石术。我们认为大多数鹿角形结石可以通过这种方式清除。在大多数情况下，肾造瘘取石术应作为初始治疗方法。这种侵入性较小的方法对复发风险高的患者尤其有利。
