Orikasa S
Department of Urology, Tohoku University School of Medicine.
Nihon Hinyokika Gakkai Zasshi. 1991 Jul;82(7):1027-44. doi: 10.5980/jpnjurol1989.82.1027.
The recent development in the treatment of the urinary stones has much to do with underwater shock waves. And urologists have become more aggressive in using this modality in the treatment of the complicated stone patient. However, controversy persists regarding the extent to which the applied voltage and shock wave number interact to induce both cellular injury and stone fragmentation and also the appropriate timing of repeat lithotripsy treatments. It is very short time since underwater shock wave has been initially applied to human body. The effects of the shock wave on the microstructure of the tissues are poorly understood. The questions, what happens at the F2 focus and what happens to the energy after arriving at the F2, remain unclear. The bioeffects of ESWL should be more and more scrutinized.
尿石症治疗的最新进展与水下冲击波密切相关。并且泌尿外科医生在治疗复杂结石患者时更积极地使用这种治疗方式。然而，关于施加电压和冲击波次数在多大程度上相互作用以导致细胞损伤和结石破碎，以及重复碎石治疗的合适时机，争议仍然存在。水下冲击波最初应用于人体至今时间很短。冲击波对组织微观结构的影响了解甚少。在F2焦点处发生了什么以及到达F2后能量会怎样，这些问题仍不清楚。体外冲击波碎石术的生物效应应受到越来越多的审视。
