Erturk E, Herrman E, Cockett A T
Department of Urology, University of Rochester, Strong Memorial Hospital, New York.
J Urol. 1993 Jun;149(6):1425-6. doi: 10.1016/s0022-5347(17)36405-4.
A retrospective analysis of distal ureteral calculi treated by extracorporeal shock wave lithotripsy (ESWL*) as the primary mode of therapy was performed. Using the Dornier HM3 unit 312 patients underwent a total of 326 ESWL procedures. Several pretreatment procedures, including placement of ureteral catheters were used to help with stone localization. Early fragmentation and 3-month stone-free rates were analyzed. Of the patients 81% were stone-free at 3 months. We reviewed 27 failures, revealing a higher incidence of impacted stones and stones greater than 1 cm. Complications were few and minor. ESWL is a safe and effective treatment option for distal ureteral calculi.
对采用体外冲击波碎石术（ESWL*）作为主要治疗方式治疗的远端输尿管结石进行了回顾性分析。使用多尼尔HM3设备，312例患者共接受了326次ESWL治疗。采用了包括放置输尿管导管在内的几种预处理程序来辅助结石定位。分析了早期结石碎裂情况和3个月无结石率。81%的患者在3个月时无结石。我们回顾了27例治疗失败病例，发现嵌顿性结石和直径大于1 cm的结石发生率较高。并发症少且轻微。ESWL是治疗远端输尿管结石的一种安全有效的选择。
