Greenstein A, Matzkin H, Kaver I, Baron J, Braf Z
Department of Urology, Tel-Aviv University, Israel.
J Lithotr Stone Dis. 1990 Oct;2(4):298-301.
Extracorporeal shock wave lithotripsy has become the treatment of choice for upper urinary tract stones. We evaluated the impact of a new lithotripter on the kidneys of 14 nonobstructed patients treated for renal stones, using several physiological parameters and renal ultrasonography. Glomerular filtration rates (GFR) were estimated from the renal scan. Complete disintegration of the stone was accomplished in all but one patient. Treatment did not alter the serum parameters or the renal ultrasonography. Also, no changes were found in the GFR on the follow-up renal scans in both kidneys. The implications of these findings are discussed.
体外冲击波碎石术已成为上尿路结石的首选治疗方法。我们使用多种生理参数和肾脏超声检查,评估了一种新型碎石机对14例因肾结石接受治疗的无梗阻患者肾脏的影响。肾小球滤过率(GFR)通过肾脏扫描估算。除1例患者外,所有患者的结石均完全碎裂。治疗未改变血清参数或肾脏超声检查结果。此外,随访肾脏扫描显示,双肾的GFR均未发生变化。本文对这些研究结果的意义进行了讨论。