CALCULUS DISEASE IN DUPLEX SYSTEM - ROLE OF EXTRACORPOREAL SHOCKWAVE LITHOTRIPSY

被引:13
作者
BHATIA, V
BIYANI, CS
机构
[1] RG Stone Clinic, New Delhi
关键词
LITHOTRIPSY; CALCULUS; DUPLEX SYSTEM;
D O I
10.1159/000282476
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
We report 8 patients with urolithiasis in a duplex system. These patients (7 males and 1 female) underwent 16 extracorporeal shock wave lithotripsy (ESWL) treatments. Five had renal and 3 had ureteral stones. The mean stone size was 21 mm (12-54 mm). Five patients had incomplete and 3 had complete duplication, of which one had an associated horseshoe kidney. Retrograde ureteropyelography was done in all the patients and in 7 a JJ stent was inserted. The JJ stent could not be inserted in 1 patient with incomplete duplication and retrograde catheterization with saline infusion was used as an auxiliary procedure. One patient with complete duplication had stones in both the ipsilateral ureters with a stone bulk of 54 mm and required two JJ stents. Only 1 paediatric patient required general anaesthesia. The 3-month stone-free rate was 100%.
引用
收藏
页码:164 / 169
页数:6
相关论文
共 20 条
[1]  
Nation E.F., Duplication of the kidney and ureter: A statistical study of 2 30 new cases, J Urol, 51, pp. 456-465, (1944)
[2]  
Nordmark B., Double formation of the pelvis, of the kidneys and ureters: Embryology, occurrence and clinical significance, Acta Radiol, 30, pp. 267-278, (1948)
[3]  
Privett J.T.J., Jeans W.D., Roylance J., The incidence and importance of renal duplication, Clin Radiol, 27, pp. 521-530, (1976)
[4]  
Bisset G.S., Strife J.L., The duplex collecting system in girls with urinary tract infection: Prevalence and significance, Am J Roentgenol, 148, pp. 497-500, (1987)
[5]  
Perlmutter A.D., Retik A.B., Bauer S.B., Anomalies of the upper urinary tract, Campbell’s Urology, 2, (1986)
[6]  
Gutierrez R., Role of anomalies of kidneys and ureter in causation of surgical conditions, JAMA, 106, pp. 183-189, (1936)
[7]  
Mertz H.O., Bilateral duplication of the ureters with a complication of recorded cases, Urol Cutan Rev, 24, pp. 636-642, (1920)
[8]  
Payne R.A., Clinical significance of reduplicated kidneys, Br J Urol, 31, pp. 141-149, (1959)
[9]  
Chaussy C., ESWL: Past, present and future, J Endourol, 2, pp. 97-105, (1988)
[10]  
Holmes S.A.V., Whitfield H.N., The current status of lithotripsy, Br J Urol, 68, pp. 337-344, (1991)