使用Lithostar进行低能量体外冲击波碎石术：19962例肾和输尿管结石的治疗结果

Low energy lithotripsy with the Lithostar: treatment results with 19,962 renal and ureteral calculi.

作者信息

Mobley T B, Myers D A, Grine W B, Jenkins J M, Jordan W R

机构信息

Lithotripters, Inc., Fayetteville, North Carolina.

出版信息

J Urol. 1993 Jun;149(6):1419-24. doi: 10.1016/s0022-5347(17)36404-2.

DOI:10.1016/s0022-5347(17)36404-2

PMID:8501779

Abstract

Between November 1988 and January 1992, 19,962 renal and ureteral calculi were treated in the United States using 18 different mobile and 2 fixed base Lithostar lithotriptors. Lithotripsy was performed on 11,516 renal and 8,446 ureteral calculi by 750 urologists using the same technique. The success rate (asymptomatic with stone fragments of 4 mm. or less) for renal stones was 87.9%, the stone-free rate was 68.9% and the retreatment rate was 16.5%. Auxiliary procedures were performed in 32.2% of the renal calculi. The success rate for ureteral calculi was 89.5%, the stone-free rate was 83.5% and the retreatment rate was 10.7%. Auxiliary procedures were performed in 25.5% of the ureteral calculi. The overall success rate was 88.4% stone-free rate 75.5%, retreatment rate 14.0% and auxiliary procedure rate 29.4%. Anesthesia personnel were used in 1.9% of the cases. Low energy extracorporeal shock wave lithotripsy was found to be safe and effective.

摘要

1988年11月至1992年1月期间，美国使用18台不同的移动型和2台固定型Lithostar碎石机治疗了19962例肾和输尿管结石。750名泌尿科医生采用相同技术对11516例肾结石和8446例输尿管结石进行了碎石治疗。肾结石的成功率（结石碎片4毫米或更小且无症状）为87.9%，无石率为68.9%，再次治疗率为16.5%。32.2%的肾结石患者接受了辅助手术。输尿管结石的成功率为89.5%，无石率为83.5%，再次治疗率为10.7%。25.5%的输尿管结石患者接受了辅助手术。总体成功率为88.4%，无石率为75.5%，再次治疗率为14.0%，辅助手术率为29.4%。1.9%的病例使用了麻醉人员。发现低能量体外冲击波碎石术安全有效。