Legrand F, Idrissi Kaitouni M, Roumeguère T
Service d'Urologie, Hôpital Erasme.
Rev Med Brux. 2013 May-Jun;34(3):163-9.
Extracorporeal shock wave lithotripsy (ESWL) is one of the most frequently applied procedures for the treatment of urolithiasis. ESWL breaks and splits stones by the means of repeated acoustic shock waves. Despite its non invasive nature, ESWL has been intuitively associated with potential complications, mostly related to residual stone fragments. While non stone-related complications are rare (< 1 %), awareness and identification of these complications could help clinicians to prevent and manage them safely and effectively. The current study reviews the pathophysiology, predicting factors and possible preventive measures of non stone-related medical complications after ESWL.
体外冲击波碎石术(ESWL)是治疗尿石症最常用的方法之一。ESWL通过重复的声波冲击波来破碎和分裂结石。尽管其具有非侵入性,但ESWL一直被直观地认为与潜在并发症有关,主要与残留结石碎片有关。虽然与结石无关的并发症很少见(<1%),但对这些并发症的认识和识别有助于临床医生安全有效地预防和处理它们。本研究综述了ESWL后与结石无关的医学并发症的病理生理学、预测因素和可能的预防措施。