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体外冲击波碎石术对结石形成危险因素的影响。

Effects of extracorporeal shock wave lithotripsy on stone forming risk factors.

作者信息

Kiliç S, Yaman O, Sarica K, Göğüş O, Yaman L S, Süzer O

机构信息

Department of Urology, University of Ankara, School of Medicine, Turkey.

出版信息

Int Urol Nephrol. 1996;28(2):137-40. doi: 10.1007/BF02550850.

DOI:10.1007/BF02550850
PMID:8836778
Abstract

It has been reported in some definite studies that ESWL causes transient deterioration in renal haemodynamics and function. Again certain parameters in blood and urine have been used in order to assess this functional deterioration and different results are reported. In our present study we aimed to describe the adverse effects of shock waves on the excretion of urinary metabolites such as electrolytes, oxalate and citrate. Evaluation of our results in 30 patients revealed that although exposure to shock waves during ESWL for symptomatic renal calculi causes a slight increase in the urinary level of metabolites, all of these changes remained in normal range and no statistically significant changes in the urinary level of the aforementioned parameters could be demonstrated.

摘要

一些明确的研究报告称,体外冲击波碎石术(ESWL)会导致肾脏血流动力学和功能的短暂恶化。为了评估这种功能恶化,人们又使用了血液和尿液中的某些参数,且报告了不同的结果。在我们目前的研究中,我们旨在描述冲击波对尿液代谢物(如电解质、草酸盐和柠檬酸盐)排泄的不良影响。对我们30例患者的结果评估显示,虽然在对有症状的肾结石进行ESWL治疗期间暴露于冲击波会导致尿液中代谢物水平略有升高,但所有这些变化仍在正常范围内,且上述参数的尿液水平没有统计学上的显著变化。

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1
Effects of extracorporeal shock wave lithotripsy on stone forming risk factors.体外冲击波碎石术对结石形成危险因素的影响。
Int Urol Nephrol. 1996;28(2):137-40. doi: 10.1007/BF02550850.
2
Evaluation of the process of recycling and renal parenchymal injury after eswl with metabolites excreted in the urine.评估 ESWL 后代谢产物经尿液排泄对肾脏实质损伤及再回收过程。
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Early changes of oxalate and calcium urine excretion in those with calcium oxalate stone formation after extracorporeal shock wave lithotripsy.体外冲击波碎石术后草酸钙结石形成者尿草酸和钙排泄的早期变化。
Urology. 2003 Jul;62(1):17-21. doi: 10.1016/s0090-4295(03)00122-5.
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[Urinary excretion of leucine aminopeptidase after extracorporeal shock wave lithotripsy].体外冲击波碎石术后亮氨酸氨基肽酶的尿排泄情况
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Urinary glycosaminoglycan excretion following extracorporeal shock wave lithotripsy.
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Acute changes in kidney function following extracorporeal shock wave lithotripsy for renal stones.体外冲击波碎石术治疗肾结石后肾功能的急性变化。
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Effects of high energy shock wave exposure on renal function during extracorporeal shock wave lithotripsy for kidney stones.体外冲击波碎石术治疗肾结石期间高能冲击波暴露对肾功能的影响。
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引用本文的文献

1
Estimating the effectiveness of various methods of evacuation of kidney stones, on the basis of data obtained on percentage of "stone free" and recurrent stone formation.根据“结石清除”百分比和复发性结石形成的数据,评估各种肾结石排出方法的有效性。
Int Urol Nephrol. 2001;33(2):335-40. doi: 10.1023/a:1015282526252.

本文引用的文献

1
Recurrence following operative treatment of upper urinary tract stone.上尿路结石手术治疗后的复发情况。
J Urol. 1982 Mar;127(3):472-4. doi: 10.1016/s0022-5347(17)53869-0.
2
When should patients with symptomatic urinary stone disease be evaluated metabolically?有症状的尿路结石病患者应在何时进行代谢评估?
J Urol. 1984 Dec;132(6):1137-9. doi: 10.1016/s0022-5347(17)50064-6.
3
A prospective study of renal stone recurrences.
Br J Urol. 1984 Apr;56(2):122-4. doi: 10.1111/j.1464-410x.1984.tb05346.x.
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Renal morphology and function immediately after extracorporeal shock-wave lithotripsy.
AJR Am J Roentgenol. 1985 Aug;145(2):305-13. doi: 10.2214/ajr.145.2.305.
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Combination of percutaneous surgery and extracorporeal shockwave lithotripsy for the treatment of large renal calculi.
Br J Urol. 1986 Dec;58(6):581-4. doi: 10.1111/j.1464-410x.1986.tb05889.x.
6
Extracorporeal shock wave lithotripsy for large renal stones. To what size is extracorporeal shock wave lithotripsy alone feasible?体外冲击波碎石术治疗大型肾结石。单纯体外冲击波碎石术可行的结石最大尺寸是多少?
Eur Urol. 1988;15(1-2):5-8. doi: 10.1159/000473384.
7
Short-term changes of laboratory values after extracorporeal shock wave lithotripsy: a comparative study.体外冲击波碎石术后实验室检查值的短期变化:一项对比研究。
J Urol. 1989 Aug;142(2 Pt 1):259-62. doi: 10.1016/s0022-5347(17)38724-4.
8
Metabolic evaluation in stone patients in relation to extracorporeal shock wave lithotripsy treatment.
J Urol. 1991 Dec;146(6):1478-81. doi: 10.1016/s0022-5347(17)38144-2.