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[冲击波对肾脏和输尿管结石的破坏作用]

[Shockwave destruction of stones in the kidneys and ureters].

作者信息

Lopatkin N A, Simonov V Ia, Dzeranov N K, Martov A G, Zakhmatov Iu M

出版信息

Ter Arkh. 1989;61(10):46-50.

PMID:2609268
Abstract

Experience gained in the use of the first Soviet unit and western lithotriptors is based on the treatment of over 2500 patients of different age groups. Comparative characteristics of lithotriptors are provided to mark substantial advantages of the Soviet unit. Distant lithotripsy (DL) is much more effective and atraumatic as compared with conventional surgical interventions. The use of DL provides positive effect in 97-99% of cases. The rate of complications is extremely low, amounting to 5-10%. Indications and contraindications as to the use of DL are given. Contraindications include cases requiring reconstructive surgical interventions and the presence of coral-like calculi and acute inflammation. The Soviet unit appeared especially effective in the treatment of children with urolithiasis. The cure was attained in 97.2% of the patients, no serious complications occurred. Functional studies of the kidneys did not reveal any changes both in the short- and long-term periods after DL.

摘要

在使用第一台苏联设备和西方碎石机方面所积累的经验,是基于对2500多名不同年龄组患者的治疗。文中给出了碎石机的对比特征,以彰显苏联设备的显著优势。与传统外科手术相比,远程碎石术(DL)更为有效且无创。DL的使用在97% - 99%的病例中产生了积极效果。并发症发生率极低,仅为5% - 10%。文中给出了DL使用的适应症和禁忌症。禁忌症包括需要进行重建性外科手术的病例,以及存在珊瑚状结石和急性炎症的情况。苏联设备在治疗小儿尿路结石方面显得尤为有效。97.2%的患者得到治愈,未发生严重并发症。对肾脏的功能研究表明,在DL后的短期和长期内均未发现任何变化。

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