体外冲击波碎石术已被证明是一种非常有效的治疗肾结石的术式。冲击波可碎裂大多数类型的结石,且作为泌尿系结石的唯一非侵入式疗法,相当有吸引力。
01
减少副作用的机制
02
保护性预治疗及治疗方案
在另一项猪模型研究中,降低冲击波频率似乎也能减少肾损伤【99】。冲击波频率降至每分钟30个冲击波则肾功能容积损伤低于0.1%【99】。慢冲击波频率对肾组织损伤效应与采用预适应规程相似。降低冲击波传导频率的另一好处是提高碎石率。一项对589名患者的荟萃分析表明,慢速ESWL(每分钟60个冲击波)比快速ESWL(每分钟120个冲击波)碎石效率更高【100】。其它几项前瞻性临床试验【101-103】和一项独立荟萃分析【104】也报告证实了这一点。
参考文献
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