Zhang Y F
Zhongshan Hospital, Shanghai Medical University.
Zhonghua Yi Xue Za Zhi. 1992 Sep;72(9):528-30, 572.
We studied 139 patients with upper urinary tract calculi who were treated by JT-ESWL-I and III type extra corporeal shock wave lithotripter (ESWL) for an average of 4 years and 11 months. These patients aged below 45 had no history or family history of hypertension. Hypertension was found in 1 patient (0.7%) and elevated diastolic pressure in 6 (4.3%). The recurrence rate of calculi was 5%. Before and after ESWL, Bun, Cr, B2-mG (of blood and urine), activity of blood plasma renin AT-II, -GT, NAG, mucoprotein of plasma, etc were also determined. The differences in their values were not significant. We concluded that if the indications for ESWL are strictly considered including patient selection and number of wave pulsation and energy, ESWL is still an ideal method of treatment.
我们研究了139例上尿路结石患者，他们接受了JT - ESWL - I型和III型体外冲击波碎石机（ESWL）治疗，平均治疗时间为4年11个月。这些45岁以下的患者无高血压病史或家族史。发现1例患者（0.7%）患有高血压，6例患者（4.3%）舒张压升高。结石复发率为5%。在ESWL治疗前后，还测定了血尿素氮（Bun）、肌酐（Cr）、血和尿中的β2 -微球蛋白（B2 - mG）、血浆肾素活性、血管紧张素II（AT - II）、γ-谷氨酰转肽酶（-GT）、N -乙酰-β-D-氨基葡萄糖苷酶（NAG）、血浆粘蛋白等。其值的差异不显著。我们得出结论，如果严格考虑ESWL的适应证，包括患者选择、波脉冲次数和能量等，ESWL仍然是一种理想的治疗方法。
