Dutkiewicz S, Debski K, Witoska A, Woszczyk P, Pawluczuk Z
Department of Urology, Ministry of Internal Affairs Central Clinical Hospital, Warsaw, Poland.
Int Urol Nephrol. 1994;26(6):599-604. doi: 10.1007/BF02767711.
Over a 36-month period 2800 patients were subjected to extracorporeal shock-wave lithotripsy (ESWL). A total of 5154 procedures were done. Best results were seen with renal pelvic calculi (not larger than 2.5 cm in diameter). Fragments of crushed lower calyceal calculi proved the most difficult to eliminate. As ureteral stone localization approached the bladder, the ESWL results were poorer. Post-ESWL complications were proportional to the stone mass; the higher the mass the more numerous the complications tended to be. Besides erythrocyturia and gross haematuria renal colic was the most frequent complication in almost 60% of the patients. Less prevalent were impacted ureteral stones, subcapsular haematoma and fever. At our institution, thanks to the ESWL method about 80% of the patients were spared surgery.
在36个月的时间里，2800名患者接受了体外冲击波碎石术（ESWL）。总共进行了5154次手术。肾盂结石（直径不超过2.5厘米）的治疗效果最佳。事实证明，粉碎的下盏结石碎片最难排出。随着输尿管结石位置接近膀胱，ESWL的治疗效果变差。ESWL术后并发症与结石大小成正比；结石越大，并发症往往越多。除了红细胞尿和肉眼血尿外，肾绞痛是近60%患者中最常见的并发症。输尿管结石嵌顿、肾包膜下血肿和发热则较少见。在我们机构，由于采用了ESWL方法，约80%的患者无需进行手术。
