TREATMENT OF CYSTINE CALCULUS WITH EXTRACOR- POREAL SHOCK WAVE LITHOTRIPSY

摘要

Objective To evaluate the effectiveness of ESWL for treating patients with cystine calculus. Methods Of 31 patients, 20 were subjected to ESWL only, 6 were subjected to combination therapy of PCNL and ESWL, 2 Pneumatic Lithotriptor-ESWL, 3 Laser lithotripsy-ESWL. Results For 14 renal stones, the fragmentation after ESWL monotherapy was 85. 7% and 14. 3% after twice ESWL sessions. For 17 ureter calculus, the fragmentation after ESWL monotherapy was 82. 3% and 11. 7% after twice ESWL sessions. One patient (5. 8% ) failed and changed to open surgery. Conclusion ESWL is an effective and reliable method for treating patients with cystine calculus, however, better effects and shorter treatment time could be obtained by the combination of ESWL with other therapy options.