Rashed Fahimeh Kazemi, Ahmadi Nader Rash, Zolfaghari Ali, Farshi Alireza, Amjadi Mohsen, Gholipour Mahboobeh
Department of Urology, Imam Reza Hospital, Tabriz, Iran.
Department of Extracorporeal Shock Wave Lithotripsy, Shahid Madani Hospital, Tabriz University of Medical Sciences, Tabriz, Iran.
Urol Ann. 2017 Jul-Sep;9(3):268-271. doi: 10.4103/0974-7796.210041.
To investigate the hypothesis that extracorporeal shock wave lithotripsy (ESWL) increases the risk of new onset diabetes mellitus (DM) or significant changes in fasting blood sugar (FBS).
A total number of 307 patients enrolled in this study. All of them had undergone ESWL for kidney stone from 1991 to 1994. In 2009, after 15-19 years, we invited patients to check their blood sugar.
There were 307 patients, 19.8% females, and 80.1% males. The mean age of the patients was 44 for females and 42 years for males. 47.5% had kidney stone in the left side, 42.9% in the right side and 9.4% bilateral. The mean FBS increasing was 11.86 g/dl. It was 14.54 g/dl for the right side, 8.57 g/dl for left and 16.24 g/dl for bilateral ESWL.
The increasing of FBS is more significant in shock wave intensities higher than 15.5 KV. And there wasn't any significant relationship between age, sex, body mass index (BMI) and total number of shock waves with increasing of FBS. ESWL treatment might associate with increasing FBS without any relation to age, sex and BMI.
探讨体外冲击波碎石术（ESWL）会增加新发糖尿病（DM）风险或导致空腹血糖（FBS）显著变化这一假说。
本研究共纳入307例患者。他们均在1991年至1994年间接受了肾结石体外冲击波碎石术。2009年，在15至19年后，我们邀请患者检查血糖。
共有307例患者，女性占19.8%，男性占80.1%。女性患者的平均年龄为44岁，男性为42岁。47.5%的患者肾结石位于左侧，42.9%位于右侧，9.4%为双侧。空腹血糖平均升高11.86 g/dl。右侧体外冲击波碎石术后空腹血糖升高至14.54 g/dl，左侧为8.57 g/dl，双侧为16.24 g/dl。
冲击波强度高于15.5千伏时，空腹血糖升高更为显著。年龄、性别、体重指数（BMI）和冲击波总数与空腹血糖升高之间均无显著关系。体外冲击波碎石术治疗可能与空腹血糖升高有关，且与年龄、性别和BMI无关。
