RESUMEN
The material gained in the urological clinic of the Moscow Regional Research Clinical Institute covers 2000 cases of uroliths treated with extracorporeal lithotripsy (ECL) for 4 years. Factors implicated in the treatment outcomes, measures to prevent ECL complications, recommendations for ECL regimens in different clinical forms are specified.
Asunto(s)
Litotricia , Cálculos Urinarios/terapia , Adulto , Femenino , Humanos , Litotricia/métodos , Masculino , Tomografía Computarizada por Rayos X , Cálculos Urinarios/complicaciones , Cálculos Urinarios/diagnóstico por imagen , UrografíaRESUMEN
The article analyses experience in the management of about 1,500 patients with urolithiasis who underwent in- and out-patient treatment at the Urological Clinic of the Moscow Regional Scientific Research Clinical Institute in 1990-1993. Indications were determined for applying lithotripsy in patients with stones in anomalous kidneys, in cases of a solitary kidney, and children with urolithiasis. The tactics of management of large kidney stones is described. The use of endoscopic methods of treatment (percutaneous and transurethral) is evaluated. Modern methods of urolithiasis treatment were applied instead of an open operation in 90% of patients.
Asunto(s)
Cálculos Renales/terapia , Litotricia/métodos , Adolescente , Adulto , Anciano , Niño , Preescolar , Endoscopía , Femenino , Humanos , Cálculos Renales/diagnóstico , Masculino , Persona de Mediana Edad , Resultado del TratamientoRESUMEN
Therapeutic results of remote lithotripsy have been analyzed for 1016 patients with urolithiasis. The authors also focus on specific features of remote lithotripsy in anomalous stones, in nephroliths on the single and transplanted kidney, in location of the stone in the ureter. The efficacy of the procedure is reviewed in pediatric patients. Satisfactory results were achieved in 962 patients (95%). Remote lithotripsy is considered to be a valuable component of combined treatment of urolithiasis replacing successfully open surgery in 95% of the cases.