体外衝撃波による腎・尿管結石破砕術の臨床経験 第2報: 術後3ヵ月を経過した60症例の検討

Abstract

ESWL (Extracorporeal Shock Wave Lithotripsy)施行後3ヵ月を経過した60症例のうち経過観察が可能であった53例中, 3ヵ月以内に結石の完全排出をみたのは, 46例86.8%であった

Fifty three out of 60 cases treated with Extracorporeal Shock Wave Lithotripsy (ESWL), were followed up for 3 months. Forty four of the patients had renal stones (2 had bilateral renal stones, 3 had staghorn calculi, 2 had incomplete staghorn calculi, 10 had multiple renal stones), 2 had the unilateral renal and ureteral stones and 16 had ureteral stone. The stone had been discharged completely within 3 months in 47 cases (86.8%), and residual stones were noticed in 6 cases (11%), two of which had stone discharge after retreatment with ESWL. The other cases are being followed up without further treatment, because the residual sandy stones are thought to be able to be discharged spontaneously.