Aabech J, Andersen J T
Department of Urology, Hvidovre Hospital, University of Copenhagen, Denmark.
Scand J Urol Nephrol. 1993;27(3):415-7. doi: 10.3109/00365599309180456.
Treatment of cystine stones in the urinary tract can be difficult because of a high frequency of recurrence, resistance to Extracorporeal Shock Wave Lithotripsy (ESWL), difficulty in localization and access to peripheral stones during Percutaneous Nephrolithotripsy (PCNL), and the insufficient effect of oral chemolysis. We present two cases of urinary cystine calculi treated with a combination of pyelolithotomy, PCNL, ESWL and percutaneous irrigation chemolysis, using N-acetylcysteine and Tromethamine-E.
由于尿路胱氨酸结石复发频率高、对体外冲击波碎石术（ESWL）有抗性、经皮肾镜取石术（PCNL）期间外周结石定位和进入困难以及口服化学溶解效果不佳，其治疗可能具有挑战性。我们报告两例尿路胱氨酸结石患者，采用肾盂切开取石术、PCNL、ESWL和经皮冲洗化学溶解联合治疗，使用N-乙酰半胱氨酸和三羟甲基氨基甲烷-E。
