Klein J, Netsch C, Sievert K D, Miernik A, Westphal J, Leyh H, Herrmann T R W, Olbert P, Häcker A, Bachmann A, Homberg R, Schoenthaler M, Rassweiler J, Gross A J
Klinik für Urologie und Kinderurologie, Universitätsklinikum Ulm, Prittwitzstr. 43, 89075, Ulm, Deutschland.
Abteilung für Urologie, Asklepios Klinik Barmbek, Hamburg, Deutschland.
Urologe A. 2018 Apr;57(4):463-473. doi: 10.1007/s00120-018-0611-9.
Interventional treatment of stones essentially consists of three treatment modalities. Extracorporeal shockwave lithotripsy (ESWL), in addition to uterorenoscopy (URS) and percutaneous nephrolitholapaxy (PCNL) is an essential treatment pillar and is the only noninvasive therapy option for the treatment of urinary stones. After a long period of ESWL being the leading choice in stone treatment, the number of SWL interventions diminished in recent years in favor of the other two treatment modalities (URS and PCNL). This article describes the indications, surgical technique and management of complications of SWL.
结石的介入治疗主要包括三种治疗方式。体外冲击波碎石术(ESWL),以及输尿管肾镜检查术(URS)和经皮肾镜取石术(PCNL),是重要的治疗支柱,并且是治疗尿路结石的唯一非侵入性治疗选择。在ESWL长期作为结石治疗的首选方法之后,近年来SWL干预的数量有所减少,转而青睐其他两种治疗方式(URS和PCNL)。本文介绍了SWL的适应症、手术技术及并发症处理。