Schaub T, Kunisch M, Stadtbäumer M, Störkel S, el-Damanhoury H, Hennes H J, Schild H, Thelen M
Institut für klinische Strahlenkunde, Universitätsklinik, Mainz.
Rofo. 1991 May;154(5):541-5. doi: 10.1055/s-2008-1033181.
In a pig model, 13 kidneys were treated with a second generation lithotripter and examined by CT immediately and three weeks after ESWL. 9 (69%) acute traumatic lesions were seen in CT without, and 10 (77%) in CT with contrast in the 13 treated kidneys. After 3 weeks only 1 residual lesion persisted in CT contrast studies. On the histopathologic specimens residuals of bleeding were found in 3 (23%) of the 13 kidneys treated, which could not be seen in CT studies. CT is accurate in monitoring acute traumatic renal lesions after ESWL, but appears less reliable in chronic ones. Three weeks after ESWL traumatic renal lesions show marked regression.
在猪模型中，用第二代碎石机治疗13个肾脏，并在体外冲击波碎石术（ESWL）后立即以及三周后通过CT进行检查。在13个接受治疗的肾脏中，9个（69%）在未增强CT中可见急性创伤性病变，10个（77%）在增强CT中可见。三周后，CT增强扫描仅发现1个残留病变。在13个接受治疗的肾脏中的3个（23%）组织病理学标本中发现有出血残留，这在CT检查中未见。CT在监测ESWL后急性创伤性肾损伤方面是准确的，但在慢性损伤方面似乎不太可靠。ESWL三周后创伤性肾损伤明显消退。
