[ESWL with the Lithostar--experience with 3,000 treatments].

G Brien, C Bick, P Kirschner, P Althaus, E Tutschku, S Christoph
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Abstract

The experiences with 3,000 extracorporeal shock wave lithotripsies of kidney and ureteral calculi using the Lithostar are reported. Indications, contraindications and therapeutic approach are reviewed and the importance of out-patient follow-up is stressed. The success rate of 75% (including further spontaneous passage of residual desintegrated calculi) is good in the view of an unselected and unfavourable patient population. In the other patients a second ESWL treatment may be necessary. In the initial period in 6% of the patients percutaneous nephrolitholapaxy or open operation have been performed whereas in the last 100 patients it was not necessary.

[使用Lithostar的ESWL - 3000次治疗经验]。
本文报道用Lithostar体外冲击波碎石术治疗3000例肾结石和输尿管结石的经验。本文回顾了适应症、禁忌症和治疗方法,并强调了门诊随访的重要性。75%的成功率(包括残余结石的进一步自发通过)对于未选择和不利的患者群体来说是很好的。在其他患者中,第二次ESWL治疗可能是必要的。在最初阶段,6%的患者进行了经皮肾结石清除术或开放手术,而在最后100例患者中,这是不必要的。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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