PLACE OF EXTRACORPOREAL SHOCK-WAVE LITHOTRIPSY (ESWL) IN MANAGEMENT OF CYSTINE CALCULI

被引：21

作者：

KATZ, G ^{[1
]}

LENCOVSKY, Z ^{[1
]}

PODE, D ^{[1
]}

SHAPIRO, A ^{[1
]}

CAINE, M ^{[1
]}

机构：

[1] HEBREW UNIV JERUSALEM,HADASSAH MED CTR,DEPT UROL,JERUSALEM,ISRAEL

来源：

UROLOGY | 1990年 / 36卷 / 02期

关键词：

D O I：

10.1016/0090-4295(90)80210-E

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：

We treated 12 patients with sixteen renal and one ureteral cystine stones primarily with extracorporeal shock-wave lithotripsy (ESWL). Among the stones thirteen were >25 mm. In four stones <25 mm, three stones completely disappeared and 1 was reduced to small fragments, following ESWL. In thirteen stones >25 mm, twelve were treated by ESWL initially, and one by surgery. Of the 12 cases treated initially by ESWL, 4 became stone free, 4 remained with small fragments, and 1 remained with large fragments. Two patients were operated on because of poor response to ESWL and 1 patient lost kidney function because of prolonged obstruction. Disintegration of cystine stones >25 mm required an average of 8,522 shock-waves in 4.33 sessions. The problems associated with application of ESWL monotherapy to cystine stones are presented. © 1990 Cahners Publishing Company, A division of Reed Publishing USA.

引用

页码：124 / 128

页数：5