Re: Goktas et al.: SWL in Lower Calyceal Calculi: Evaluation of the Treatment Results in Children and Adults? (Urology 2011;78:1402-1406)

摘要

Goktas et al compared the results of extracorporeal shockwave lithotripsy (ESWL) for inferior pole calculi between children and adults. They found 86% stone-free rates in children compared with. 31.5% in adults and therefore recommended ESWL as the preferred initial treatment of lower pole calculi of 1-2.5 cm in children. They postulate that the good results are a result of lower loss of energy through the small body volume of a child1; shorter, more elastic, and distensible ureter in children2; and greater ability to clear stone fragments than in adults.