体外冲击波碎石术后肾脏的超声评估

Sonographic evaluation of the kidney following extracorporeal shock wave lithotripsy.

作者信息

Kaude J V, Williams J L, Wright P G, Bush D, Derau C, Newman R C

出版信息

J Ultrasound Med. 1987 Jun;6(6):299-306. doi: 10.7863/jum.1987.6.6.299.

DOI:10.7863/jum.1987.6.6.299

Abstract

We investigated the value of real-time sonography for determination of pelvicaliceal dilatation 24-48 h after extracorporeal shock wave lithotripsy (ESWL) in 369 patients (419 treated kidneys). A varying degree of hydronephrosis was present in 121/419 (29%) kidneys. Fragmented stones post-ESWL were demonstrable in 346/419 kidneys (82%), but were missed by ultrasound in three kidneys (less than 1%). In four kidneys (1%), stone fragments which were shown to be present by ultrasound were not detectable on radiographs. In 25/419 kidneys (6%), evidence of renal trauma caused by ESWL was demonstrated by ultrasound. The most important incidental finding was a small renal cell carcinoma of the contralateral (untreated) kidney.

摘要

我们对369例患者（419个接受治疗的肾脏）进行了研究，以探讨实时超声检查在体外冲击波碎石术（ESWL）后24至48小时测定肾盂肾盏扩张情况的价值。419个肾脏中有121个（29%）存在不同程度的肾积水。ESWL术后的碎结石在419个肾脏中的346个（82%）可被显示，但有3个肾脏（不到1%）的碎结石被超声漏诊。有4个肾脏（1%），超声显示存在的结石碎片在X线片上无法检测到。在419个肾脏中的25个（6%），超声显示了ESWL引起的肾损伤证据。最重要的偶然发现是对侧（未治疗）肾脏的一个小肾细胞癌。