Blangy S, Folinais D, Sibert A, Delmas V, Moulonguet A, Benacerraf R
Service de Radiologie, Hôpital Bichat, Paris.
J Radiol. 1987 Oct;68(10):619-24.
The acute effects of extracorporeal shock wave lithotripsy (ESWL) on morphology and function of the kidney were prospectively evaluated by abdominal radiography, ultrasonography and contrast-enhanced computed tomography, in 80 treated kidneys. Two types of complications were demonstrated: 1. Obstruction of the ureter by stone fragments in 25% of cases. Relief procedures became necessary in 5 patients (6% of the 80 cases). 2. Limited injuries of the kidney and perirenal spaces in 44% of cases: parenchymatous abnormalities 17.5%; subcapsular hematoma 12.5%; perirenal fluid collection 24%. No treatment was necessary and morphologic abnormalities disappeared in one or two months post-ESWL. Severe ureteral obstruction after ESWL seems to be related to stone size. No definitive evidence that kidney's injury was related to the number of shock waves applied to the kidney was found.
通过腹部X线摄影、超声检查和对比增强计算机断层扫描，对80个接受体外冲击波碎石术（ESWL）治疗的肾脏的形态和功能的急性影响进行了前瞻性评估。发现了两种并发症：1. 25%的病例中输尿管被结石碎片阻塞。5例患者（80例中的6%）需要进行缓解手术。2. 44%的病例中肾脏和肾周间隙有局限性损伤：实质异常17.5%；包膜下血肿12.5%；肾周积液24%。无需治疗，ESWL术后一到两个月形态异常消失。ESWL术后严重输尿管梗阻似乎与结石大小有关。未发现肾脏损伤与施加于肾脏的冲击波次数有关的确切证据。
