摘要
目的探讨不同频率的ESWL碎石效果及对肾脏损伤的影响。方法回顾性分析在我院进行治疗的肾结石体外冲击波碎石患者120例的临床资料,其中40例患者碎石频率为60次/min,40例患者碎石频率为90次/min,40例患者碎石频率为120次/min,所有患者资料完整,术后随访1个月,比较3组患者的碎石效果以及肾脏损伤情况。结果三组术后成功率比较差异无统计学意义(P>0.05)。三组术后第1天SCr和BUN显著升高,其中120次/min组升高最明显,其次为90次/min组,三组比较差异有统计学意义(P<0.01)。术后第14天各指标已经恢复至术前水平。结论 60次/min、90次/min和120次/min频率ESWL碎石效果相似,但是频率越高,术后第1天肾功能损伤越明显。
Objective To discuss effect of ESWL with different shock wave frequency for kidney stone on success rate and renal injury. Methods Clinical data of 120 cases treated by ESWL were retrospectivly analyzed. Forty cases were treated by ESWL with 60 times/min. Forty cases were treated by ESWL with 90 times/min. Forty cases were treated by ESWL with 120 times/min. All cases were followed up for 1 months after treatment. Success rate and renal injury degree were analyzed. Results Success rates of 3 groups showed no significant difference （P〉0.05）. At 1 day after treatment, SCr, BUN of 3 groups increased apparently （P〈0.01）. And group 120 times/min increased most, next was group 90 times/min （P〈0.01）. At 14 days after treatment, index recovered as those of before treatment. Conclusion Success rates of ESWL with 60 times/min, 90 times/min and 120 times/min are similar, and renal injury degree in-creased with increasing of shock wave frequency.
出处
《中国现代医生》
2014年第14期28-30,共3页
China Modern Doctor
基金
浙江省医药卫生科技计划(2005B120)
