ESWL後の残石および結石再発に関する検討

Abstract

The rate of residual stones and that of recurrent lithiasis were investigated in 183 patients who had undergone extracorporeal shock wave lithotripsy (ESWL) between July, 1986 and December, 1988. The investigation was done by questionnaire survey at 22 institutions including our hospital on patients who were followed up after ESWL. The 183 patients included 126 male and 57 female patients between 9 and 77 years old (the mean 43.6 years). The greater part of patients had lithiasis of the lower renal calyx and upper ureter. The rate of residual stones 3 months after ESWL was 33.3% (61 patients) and the success rate was 72.2%. Chemical analysis of stones disclosed calcium oxalate-containing stones in 61% and calcium phosphate-containing ones in 10.8%. Recurrence of lithiasis was observed in 18 of the 131 patients (13.7%) who could be followed up for 6 months or more. These results were compared with those obtained after endoscopic treatment at Kinki University.