体外冲击波碎石术对泌尿外科假体和内置假体的影响。

The effects of extracorporeal shock wave lithotripsy on urological prostheses and endoprostheses.

作者信息

McNicholas T A, Ramsay J W, Crocker P R, Webb D R, Wickham J E

出版信息

Urol Res. 1986;14(6):309-13. doi: 10.1007/BF00262381.

Abstract

The combination of ESWL and Endourology (EU) enables a wider range of stones to be treated without open surgery than either modality alone. EU frequently involves the maintenance of a plastic prosthesis in or near the area of maximal shock wave concentration during ESWL. Prostheses subjected to a standard test treatment by ESWL and others removed from patients after ESWL were examined visually, microscopically and biochemically by electron microscopy (SEM) and X-ray emission spectroscopy (XES) to investigate the effects of ESWL on the prosthesis itself. Foley catheter balloons leaked. Previously smooth surfaces were disrupted and possibly toxic additives may be released. Care should be taken in selecting indwelling EU prostheses if ESWL treatment is likely to follow.

摘要

体外冲击波碎石术（ESWL）与腔内泌尿外科手术（EU）相结合，相比单独使用任何一种方式，能够在不进行开放手术的情况下治疗范围更广的结石。在ESWL期间，EU常常需要在最大冲击波集中区域内或其附近留置一个塑料假体。对接受ESWL标准测试治疗的假体以及ESWL后从患者体内取出的其他假体进行了肉眼、显微镜检查，并通过电子显微镜（SEM）和X射线发射光谱（XES）进行生化检查，以研究ESWL对假体本身的影响。 Foley导尿管球囊发生泄漏。先前光滑的表面遭到破坏，并且可能会释放出有毒添加剂。如果可能随后进行ESWL治疗，在选择留置的EU假体时应谨慎。