EXTRACORPOREAL SHOCK-WAVE LITHOTRIPSY FOR SMALL SYMPTOMATIC RENAL CALCULI - IS IT EFFECTIVE

被引：7

作者：

HENDRIKX, AJM

BIERKENS, AF

DEBRUYNE, FMJ

机构：

[1] Department of Urology, Radboud University Hospital, Nijmegen

来源：

UROLOGIA INTERNATIONALIS | 1991年 / 47卷 / 01期

关键词：

EXTRACORPOREAL SHOCK-WAVE LITHOTRIPSY; SMALL CALCULI;

D O I：

10.1159/000282177

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：

Renal calculi with a diameter of less than 5 mm can pass spontaneously. However, some patients have small symptomatic renal calculi for more than 3 months. We evaluated the results of extracorporeal shock-wave lithotripsy in 38 patients with such stones. Patients presented with loin pain, hematuria, infection, or a combination of complaints. Average stone size was 18 mm2. After a wait of 3 months for spontaneous evacuation without success, all patients were treated with a Siemens Lithostar. Three months after treatment, 19 patients (50%) were completely free of stones, but 7 still had complaints; of the 19 patients with residual fragments, 8 (42%) were free of complaints. Both evacuation and resolution of complaints were achieved in only 12 of the 38 patients (32%). We conclude that one should be reluctant to treat small renal calculi, because spontaneous evacuation occurs in about 80% and the results of treatment are restricted.

引用

页码：12 / 15

页数：4

共 16 条

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