Köhrmann K U, Rassweiler J, Alken P
Department of Urology, Mannheim Hospital, School of Medicine, University of Heidelberg, Germany.
World J Urol. 1993;11(1):26-30. doi: 10.1007/BF00182167.
With extracorporeal shockwave lithotripsy (ESWL) stone fragmentation and the potential creation of residual stones has become an integral part of the treatment strategy. Therefore true recurrence, regrowth and pseudo-recurrence determine the rate of new stone formation. In unselected series the overall recurrence rate after ESWL varies between 6% after 1 year and 20% after 4 years. The comparison between the recurrence rate after ESWL and the natural recurrence rate reveals that the results of ESWL are better than expected. Lithotripsy has no special effect on true stone recurrence, and even pseudo-recurrence is of minor clinical significance.
随着体外冲击波碎石术（ESWL）的应用，结石破碎以及残留结石的形成已成为治疗策略中不可或缺的一部分。因此，真正的复发、再生长和假性复发决定了新结石形成的速率。在未经过筛选的病例系列中，ESWL术后的总体复发率在1年后为6%，4年后为20%。ESWL术后复发率与自然复发率的比较表明，ESWL的结果优于预期。碎石术对真正的结石复发没有特殊影响，甚至假性复发的临床意义也较小。
