Trapeznikova M F, Urenkov S B, Kulachkov S M, Perlin D V
Urol Nefrol (Mosk). 1995 May-Jun(3):38-41.
The paper reports 3 cases of positive results achieved at extracorporeal lithotripsy for concrements in the transplanted kidney. To avoid such potential complications as subcapsular hematoma, rupture of the transplant, its ureter occlusion by the stone fragments, acute pyelonephritis, lithotripsy should be conducted in sparing regimen (low and moderate power, number of impulse per a session not more than 2000) under ultrasound control. In defective urine outflow from the transplant as a result of pretreatment obstruction by the stone or posttreatment obstruction by its fragments a drainage must be done by means of transcutaneous puncture nephrostomy.
本文报道了3例经体外冲击波碎石术治疗移植肾结石取得阳性结果的病例。为避免出现诸如肾包膜下血肿、移植肾破裂、结石碎片阻塞其输尿管、急性肾盂肾炎等潜在并发症，应在超声控制下采用保守方案（低功率和中等功率，每次治疗脉冲数不超过2000次）进行碎石术。若因术前结石梗阻或术后结石碎片梗阻导致移植肾尿液流出不畅，则必须通过经皮穿刺肾造瘘术进行引流。
