Dzeranov N K, Beshliev D A, Obukhova T V, Ivolgin V A
Urol Nefrol (Mosk). 1998 Sep-Oct(5):36-40.
Dynamic nephroscintigraphy (DSG) was performed in 112 patients aged 14 to 76 years who had undergone 1 to 6 sessions of EL for unilateral or bilateral nephrolithiasis. A total of 254 EL sessions on 119 kidneys were performed. DSG was conducted before EL and at least 12 months after elimination of the stone fragments. The improvement of secretory renal function occurred in 68(57%) patients, aggravation was registered in 17(14.3%), unchanged renal function was in 34(28.6%) patients. Out of 17 cases of aggravation EL was responsible for only 3 of them. The others were due to other factors (progressive chronic pyelonephritis, acute pyelonephritis, hematoma, etc.). The conclusion is made that EL is a low-traumatic treatment of urolithiasis which is a method of choice in making decision on therapeutic policy in urolithiasis.
对112例年龄在14至76岁之间、因单侧或双侧肾结石接受过1至6次体外冲击波碎石术（EL）的患者进行了动态肾闪烁显像（DSG）。共对119个肾脏进行了254次体外冲击波碎石术。在体外冲击波碎石术前和结石碎片清除后至少12个月进行动态肾闪烁显像。68例（57%）患者的分泌肾功能得到改善，17例（14.3%）患者肾功能恶化，34例（28.6%）患者肾功能无变化。在17例肾功能恶化的病例中，体外冲击波碎石术仅导致其中3例。其他病例是由其他因素（进行性慢性肾盂肾炎、急性肾盂肾炎、血肿等）引起的。得出的结论是，体外冲击波碎石术是一种治疗尿石症的低创伤性方法，是制定尿石症治疗策略时的首选方法。
