摘要
对８只右肾结石犬和４５只独肾家兔进行体外冲击波碎石（ＥＳＷＬ）实验，以评价低能量体外冲击波碎石效果及比较冲击波能量不同对肾脏的损伤程度。结果表明，低能量体外冲击波碎石效果与高能量相比无明显差异，且对肾脏的损伤程度明显轻于高能量冲击波。体外冲击波能量的高低与肾脏的损伤程度之间呈显著的正相关（ｒ＝０．８５７３，Ｐ＜０．０５）；临床应用高能量ＥＳＷＬ治疗上尿路结石７９５例，碎石成功率９８．１１％，平均碎石次数１．４９次／例，用低能量ＥＳＷＬ治疗上尿路结石２４８例，成功率９７．１７％，平均１．５８次／例，两者相比均无显著性差异（Ｐ＞０．０５）。低能量体外冲击波碎石病人与高能量碎石相比具有术中反应轻，术后血尿发生率低，程度轻，麻醉药用量少和无严重并发症等优点。
An ESWL experiment was performed in 8 dogs with renal calculus of the right kidney and in 45 single kidney rabbits with renal calculus to evaluate the lithothriptic effect of low energy shock wave (LESW) and to compare the degree of renal damage caused by different amounts of energy of shock wave.The results showed that LESW has no significant difference in the lithothriptic effect in comparison with high energy shock wave (HESW) and does far slighter damage to the kidney than HESW.There is significant positive correlation between the amount of energy used and the degree of renal damage (r=0.857, P <0.05).In our clinical practice 795 patients with upper urinary stones were treated by HESW,the successful rate being 98.11% and 248 patients with upper urinary stones were treated by LESW,the successful rate being 97.17%.There is no significant difference between HESW and LESW ( P >0.05).The advantage of using LESW is that the dosage of anesthetic used is small,the incidence of hematuria after lithothrypty is low and there are no serious complications.(Original article on page 172)
出处
《中华创伤杂志》
CAS
CSCD
北大核心
1995年第3期172-173,共2页
Chinese Journal of Trauma
