Treatment of ureteral and renal stones by electrohydraulic lithotripsy

被引：5

作者：

Başar H.

Ohta N.

Kageyama S.

Suzuki K.

Kawabe K.

机构：

[1] University of Tokyo,Department of Urology Hamamatsu University School of Medicine, Faculy of Medicine

[2] Anakara Numune Hospital,Department of Urology

来源：

International Urology and Nephrology | 1997年 / 29卷 / 3期

关键词：

Shock Wave Lithotripsy; Renal Stone; International Urology; Extracorporeal Shock Wave Lithotripsy; Renal Calculus;

D O I：

10.1007/BF02550922

中图分类号：

学科分类号：

摘要：

Manipulation of ureteral and renal calculi can be done under direct vision using a fiberscope with increased safety and efficacy. We treated 207 ureteral and renal stones in 198 patients using electrohydraulic lithotriptor combined with transurethral fiberscope from July 1985 till January 1991. Electrohydraulic lithotripsy (EHL) successfully fragmented 187 out of 207 stones (90.3%). A total of 119 patients (57.5%) became stone-free 3 months after operation, which increased to 170 cases (82.1%) at a mean follow-up of 20 months. There were 6 ureteral perforations (4 due to fiberscope and 2 due to EHL spark damage to the ureteral mucosa), which were treated immediately by open operation (2.9%). In 7 cases (3.4%), the stone could not be fragmented due to its hardness. We believe electrohydraulic 1ithotripsy treatmeat combined with transurethral fiberscopy is a safe, effective, noninvasive and economical method for the treatment of urinary tract stones.

引用

页码：275 / 280

页数：5

共 13 条

[1]

Angeloff A., Hydroelectrolithotripsy, J. Urol., 108, (1972)

[2]

Reuter H.J., Kern E., Electronic lithotripsy of ureteral calculi, J. Urol., 110, (1973)

[3]

Denstedt J.D., Clayman R.V., Electrohydraulic lithotripsy of renal and ureteral calculi, J. Urol., 143, (1990)

[4]

Reuter H.J., Electronic lithotripsy: Transurethral treatment of bladder stones in 50 cases, J. Urol., 104, (1970)

[5]

Aso Y., Ohta N., Nakano M., Ohtawara Y., Tajima A., Kawabe K., Treatment of staghom calculi by fiberoptic transurethral nephrolithotripsy, J. Urol., 144, (1990)

[6]

Aso Y., Takayasu H., Ohta N., Tajima A., Flexible ureterorenoscopy, Urol. Clin. North Am., 15, (1988)

[7]

Aso Y., Ohtawara Y., Fukuta K., Sudoko H., Nakano M., Ushiyama T., Ohta N., Suzuki K., Tajima A., Operative fiberoptic nephroureteroscopy: Removal of upper ureteral and renal calculi, J. Urol., 137, (1987)

[8]

Vandeursen H., Baert L., Extracorporeal shock wave lithotripsy monotherapy for staghorn stones with the second generation lithotriptors, J. Urol., 143, (1990)

[9]

Minei T., Nakanami M., Ueda S., Eto K., Yamada M., Treatment for urinary tract calculi by ESWL using an EDAP LT-10 lithotriptor, Jpn. J. Endourol. and ESWL, 3, (1990)

[10]

Yokoyama M., Kitahara K., Oda H., Shoji F., Itakura H., Osaka M., Kanemura M., Fujito S., Long term results of ESWL: Stone recurrence and fate of residual fragments, Jpn. J. Endourol. and ESWL, 3, (1990)

← 1 2 →