Hauri D
Urologische Klinik, Universitätsspital, Zürich.
Schweiz Rundsch Med Prax. 1994 May 31;83(22):670-4.
Urolithiasis has always been a well known phenomenon to mankind. Whereas up to the beginning of the 19th century, open surgery for bladder stones was known to be a high risk operation due to its frequent complications, nowadays we are able to disintegrate renal and vesical calculi into spontaneously excretable fragments by means of shock waves generated extracorporeally (ESWL). The physical principles of shock waves and their impact on the stone are explained. By means of ESWL the time of hospitalisation as well as of recovery can be massively reduced saving billions to our economy.
尿石症一直是人类熟知的现象。直到19世纪初,由于膀胱结石开放手术并发症频发,人们都知道这是一项高风险手术。如今,我们能够通过体外产生的冲击波(体外冲击波碎石术)将肾和膀胱结石分解成可自行排出的碎片。文中解释了冲击波的物理原理及其对结石的影响。通过体外冲击波碎石术,住院时间和康复时间可大幅缩短,为我们的经济节省数十亿美元。