Renal stone disease treated with extracorporeal shock wave lithotripsy: short-term observations in 100 patients.
Renal stone disease treated with extracorporeal shock wave lithotripsy: short-term observations in 100 patients.
复制标题
体外冲击波碎石术治疗肾结石：100 例患者的短期观察。
DOI：
10.1148/radiology.158.1.3940381
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发表时间：
1986
期刊：
影响因子：
19.7
通讯作者：
Newman,RC
中科院分区：
文献类型：
--
作者：
Grantham,JR;Millner,MR;Kaude,JV;Finlayson,B;Hunter2nd,PT;Newman,RC
本文描述了100例因肾结石病接受体外冲击波碎石术（ESWL）的患者的治疗后即刻结果。ESWL前及ESWL后24-72小时行排泄性尿路造影。在21例患者中，结石完全崩解，结石碎片迅速通过。76例患者在24-72小时内结石破碎但未完全排出。对3例患者的结石没有明显影响。在27例因结石碎片导致轻度至重度输尿管梗阻的患者中，有9例需要进行缓解手术（逆行输尿管操作或经皮取石术）。总体而言，70例患者成功碎石，无并发症。需要继续研究以确定残余结石的患病率、ESWL对肾脏急性影响的可逆性以及晚期高血压的可能发展。
The immediate posttreatment findings are described for 100 patients who underwent extracorporeal shock wave lithotripsy (ESWL) for renal stone disease. Excretory urography was performed both before and 24-72 hours after ESWL. In 21 patients, stones were completely disintegrated, and stone fragments were passed rapidly. Stones were fragmented but not passed entirely within 24-72 hours in 76 patients. There was no appreciable effect on stones in three patients. In nine of 27 patients who had mild to severe ureteral obstruction caused by stone fragments, relief procedures (retrograde ureteral manipulation or percutaneous stone extraction) were necessary. Overall, 70 patients experienced successful stone disintegration without complications. Continued investigation is needed to determine prevalence of residual calculi, reversibility of acute effects of ESWL on the kidney, and possible development of late hypertension.