摘要
肾结石和胆囊结石是临床常见疾病,目前国内外应用震波碎石术(ESWL)来治疗。治疗期间发现胆囊结石碎石后的排空率显著低于肾结石碎石后的排空率。本文以尿液排泄和胆汁排泌的动力学为依据对其作出了解释,指出肾石所受冲量为胆石所受冲量的10.8倍。并以此为据,提出了提高肾下盏结石和胆囊结石排空率的方法,也指出了肾结石和胆囊结石采用 ESWI治疗的禁忌证。
Patients suffering from nephrolithiasis and cholelithiasis are treated by means ofESWL,which is now wioely used at home and abroad.During treatement the rate ofexpelling gallstones is remarkbaly lower than that of expelling nephrolithes.Thephenomenon is explained on the basis of the mechanics of excreting urine and bile,the quantity of liquid required for washing against a nephrolith is 10.8 times the sizeof the quantity against a gallstone.The methods by which the expelling rates ofa nephrolith lying in the lower calyces and of gallstone should be elevated are sug-gested,the contraindications of treating nephrolithiasis and cholelithiasis by meansof ESWL are presented also.
出处
《天津医药》
CAS
1990年第6期344-348,共5页
Tianjin Medical Journal
