Zhou Qizhao, Liu Cundong, Zhong Weifeng, Liu Chengshan
Department of Urology, Third Affiliated Hospital of Southern Medical University, Guangzhou, China.
Nan Fang Yi Ke Da Xue Xue Bao. 2012 Jan;32(1):116-8.
To analyze the complications of extracorporeal shock wave lithotripsy (ESWL) for treatment of lower urinary tract stones and identify the factors contributing to the complications.
We retrospectively analyzed the postoperative complications of ESWL in 83 patients with lower urinary tract stones and their association with the patients' age, height, body weight, body mass index (BMI), stone features, shock wave times, and shock wave energy.
Of the 83 cases treated with ESWL, 72.3% (60 cases) showed gross hematuria, 27.7% (23 cases) complained of pain, and 25.3% (21 cases) had both pain and gross hematuria. None of the patients reported vomiting, skin rash, flatulence, gastrointestinal bleeding or other complications. Patients with postoperative gross hematuria, pain, and both had significantly greater stone length, stone width and more shock body times than those without these complications (P<0.01 or P<0.05). Patients with gross hematuria had significantly lower height than those without complications (P<0.05).
The common complications of ESWL for lower urinary tract stones include hematuria and pain. The patient's height, stone length, stone width and shock times are important factors contributing to these postoperative complications.
分析体外冲击波碎石术（ESWL）治疗下尿路结石的并发症，并确定导致并发症的因素。
我们回顾性分析了83例下尿路结石患者ESWL术后的并发症及其与患者年龄、身高、体重、体重指数（BMI）、结石特征、冲击波次数和冲击波能量的关系。
在接受ESWL治疗的83例患者中，72.3%（60例）出现肉眼血尿，27.7%（23例）主诉疼痛，25.3%（21例）既有疼痛又有肉眼血尿。没有患者报告呕吐、皮疹、肠胃胀气、胃肠道出血或其他并发症。术后出现肉眼血尿、疼痛以及两者皆有的患者，其结石长度、结石宽度和冲击波次数均显著高于无这些并发症的患者（P<0.01或P<0.05）。出现肉眼血尿的患者身高显著低于无并发症的患者（P<0.05）。
ESWL治疗下尿路结石的常见并发症包括血尿和疼痛。患者的身高、结石长度、结石宽度和冲击波次数是导致这些术后并发症的重要因素。
