TUL，ESWL併用療法にて完全消失した完全サンゴ状腎結石

Two cases of the complete staghorn calculi eliminated completely by the combined therapy of TUL and ESWL

TULとESWL併用療法で完全消失した完全サンゴ状腎結石の2例を経験した。

症例1は73歳，女性。2009年10月，当科初診。右完全サンゴ状腎結石と診断。腎盂の結石をTULにて可及的に砕石した後，計7回の追加ESWL施行。治療終了後1か月で結石は完全消失した。症例2は68歳，女性。2010年2月，当科紹介受診。左完全サンゴ状腎結石の診断にて腎盂内の結石をTULで可及的に砕石した後，計4回の追加ESWL施行。治療終了後1か月で結石は完全消失した。症例を選べば，完全サンゴ状腎結石であっても，TULとESWLの併用療法で治療可能である。

Two patient with the complete staghorn culculi were treated by the combination of TUL and ESWL. Case 1：A woman 73-year-old was diagnosed as a right renal complete staghorn culculus in October,2009. She was treated for the renal pelvic stone by TUL and for the residual stones by ESWL 7 times and all stones were removed. Case 2：A 68-year-old woman was diagnosed as a left renal complete staghorn calculus in Febrauary,2010. She was treated by TUL and 4 times ESWL. In both cases,these staghorn caluculi were completely removed in one month after the treatments. It is possible to treat the complete staghorn calculus by the combination therapy of TUL and ESWL in an appropriated case.