Kirkali Z, Kirkali G, Tanci S, Tahiri Y
Department of Urology, Dokuz Eylül University School of Medicine, Inciralti, Izmir, Turkey.
Int Urol Nephrol. 1994;26(4):405-8. doi: 10.1007/BF02768009.
In order to assess the effect of electromagnetic shock waves on pancreatic tissue, we studied serum and urinary amylase and serum lipase levels prior to, 1 hour, 1 day and 1 week after extracorporeal shock wave lithotripsy (ESWL) in 150 patients with upper urinary tract stones. A control group consisted of 22 patients with lower ureteric stones who underwent ESWL. All three parameters increased after ESWL (p < 0.001); however, this increase was within normal laboratory limits. There was no difference between the right and left renal units. In the control group there was no change of pancreatic enzymes after ESWL. High energy shock waves may cause some elevations of pancreatic enzymes, probably due to altered cell membrane permeability, however, ESWL with an electromagnetic shock wave emitter system does not cause significant injury to the pancreatic tissue.
为了评估电磁冲击波对胰腺组织的影响，我们研究了150例上尿路结石患者在体外冲击波碎石术（ESWL）前、术后1小时、1天和1周时的血清和尿淀粉酶以及血清脂肪酶水平。对照组由22例接受ESWL的输尿管下段结石患者组成。ESWL后所有这三个参数均升高（p < 0.001）；然而，这种升高仍在实验室正常范围内。左右肾单位之间没有差异。对照组ESWL后胰腺酶无变化。高能冲击波可能会导致胰腺酶有所升高，这可能是由于细胞膜通透性改变所致，然而，使用电磁冲击波发射系统进行的ESWL不会对胰腺组织造成明显损伤。
