LOW-ENERGY LITHOTRIPSY WITH THE LITHOSTAR - TREATMENT RESULTS WITH 19,962 RENAL AND URETERAL CALCULI

被引:80
作者
MOBLEY, TB
MYERS, DA
GRINE, WB
JENKINS, JM
JORDAN, WR
机构
[1] Lithotripters, Inc., Fayetteville, NC
关键词
KIDNEY CALCULI; URETERAL CALCULI; URINARY CALCULI; EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY;
D O I
10.1016/S0022-5347(17)36404-2
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
Between November 1988 and January 1992, 19,962 renal and ureteral calculi were treated in the United States using 18 different mobile and 2 fixed base Lithostar lithotriptors. Lithotripsy was performed on 11,516 renal and 8,446 ureteral calculi by 750 urologists using the same technique. The success rate (asymptomatic with stone fragments of 4 mm. or less) for renal stones was 87.9%, the stone-free rate was 68.9% and the retreatment rate was 16.5%. Auxiliary procedures were performed in 32.2% of the renal calculi. The success rate for ureteral calculi was 89.5%, the stone-free rate was 83.5% and the retreatment rate was 10.7%. Auxiliary procedures were performed in 25.5% of the ureteral calculi. The overall success rate was 88.4%, stone-free rate 75.5%, retreatment rate 14.0% and auxiliary procedure rate 29.4%. Anesthesia personnel were used in 1.9% of the cases. Low energy extracorporeal shock wave lithotripsy was found to be safe and effective.
引用
收藏
页码:1419 / 1424
页数:6
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