EXTRACORPOREAL SHOCK-WAVE LITHOTRIPSY AND ENDOSCOPIC MANAGEMENT OF RENAL CALCULI WITH URINARY DIVERSIONS

被引：20

作者：

CASS, AS ^{[1
]}

LEE, JY ^{[1
]}

ALIABADI, H ^{[1
]}

机构：

[1] GILLETTE CHILDRENS HOSP,UROL SERV,ST PAUL,MN 55101

来源：

JOURNAL OF UROLOGY | 1992年 / 148卷 / 03期

关键词：

LITHOTRIPSY; KIDNEY CALCULI; URINARY DIVERSION;

D O I：

10.1016/S0022-5347(17)36837-4

中图分类号：

R5 [内科学]; R69 [泌尿科学（泌尿生殖系疾病）];

学科分类号：

1002 ; 100201 ;

摘要：

A total of 12 patients with urinary diversions had calculi in 15 kidneys managed initially by extracorporeal shock wave lithotripsy (ESWL) in 12 kidneys and percutaneous nephrolithotripsy in 3. After 15 treatments with ESWL only 3 of the 12 kidneys (25%) became stone-free. Endoscopic procedures were used in 5 kidneys with fragments remaining after ESWL, and comprised percutaneous ultrasound lithotripsy in 2 and transstomal retrograde manipulations in 3. The 3 initial and 5 subsequent endoscopic procedures resulted in 6 of the 8 kidneys (75%) being stone-free. The poor results with ESWL are due to preexisting dilated upper urinary tracts and to immobility in obese myelomeningocele patients. Endoscopic procedures are the preferred method of treatment in these patients.

引用

页码：1123 / 1125

页数：3