Chen W C, Lee Y H, Huang J K, Chen M T, Chang L S
Department of Surgery, Veterans General Hospital-Taipei, Taiwan, ROC.
Urol Int. 1993;51(1):32-8. doi: 10.1159/000282507.
Seventeen patients with urolithiasis in problem kidneys which comprised horseshoe kidneys, medullary sponge kidneys (MSKs), polycystic kidneys and duplex kidneys presented to our hospital and were evaluated for treatment with extracorporeal shock-wave lithotripsy (ESWL). A total of 21 renal units were treated with ESWL. Auxiliary procedures included preoperative retrograde ureteral catheterization (1 horseshoe kidney) placement of a retrograde double-J catheter stent (1 MSK), percutaneous nephrolithotomy (PCNL; 2 MSKs) and postoperative PCNL (1 MSK). The outcome showed that 5 renal units (23.8%) were stone free, 15 renal units (71.4%) had a decreased stone load with residual stone and improved symptoms, and 1 renal unit (4.8%) had residual stone with persistent symptoms. We conclude that ESWL can be used as a primary management tool for calculi in problem kidneys.
17例患有马蹄肾、髓质海绵肾（MSK）、多囊肾和重复肾等疑难肾脏合并尿路结石的患者到我院就诊，并接受了体外冲击波碎石术（ESWL）治疗评估。共有21个肾单位接受了ESWL治疗。辅助程序包括术前逆行输尿管插管（1例马蹄肾）、逆行双J导管支架置入（1例MSK）、经皮肾镜取石术（PCNL；2例MSK）和术后PCNL（1例MSK）。结果显示，5个肾单位（23.8%）结石清除，15个肾单位（71.4%）结石负荷减轻，有残余结石且症状改善，1个肾单位（4.8%）有残余结石且症状持续。我们得出结论，ESWL可作为疑难肾脏结石的主要治疗手段。
