摘要
对６７例尿路结石患者体外冲击波碎石术（ＥＳＷＬ）前后尿内ＲＢＰ、ＮＡＧ、ａｌｂ和ＩｇＧ进行了测定。结果显示ＥＳＷＬ后在肾结石、近段输尿管结石和伴有肾盂积水的下段输尿管结石患者尿ａｌｂ、ＩｇＧ和ＲＢＰ明显增高。说明高能冲击波可直接或通过肾盂内压力增高间接损害肾小球和肾小管。ＥＳＷＬ后２周ａｌｂ、ＩｇＧ和ＲＢＰ恢复到术前水平者分别占５６．８％。７０．３％和５１．４％。为此建议对肾内、近段输尿管和下段输尿管结石伴有积水者，再次ＥＳＷＬ时，至少应在第一次ＥＳＷＬ后２周进行。不伴肾积水的远端输尿管结石不受上述时间的限制．
AbstractThe retiol+binding protein (RBP),N-acetyl-β-glu-cosaminidase,(NAG)albumin (alb)and IgG in urinewere measured from 67 patients with urinary stone be1ore and after ESWL. The results showed that the a- mount of alb,IgG and RBP in urine was obviously in- creased for the patients with renal,upper ureteral of lower ureteral stone associated with hydronephrosis. ESWL may injure the glomerule and tubules by direct or indirect action. 2 weeks after ESWL,the alb,IgG and RBP in urine returned to normal in 56.8%,70.3%and 51.4% of cases respectively. Therefore we suf1gestthat retreatment should be put off as late as 2 weeks after the first ESWL. However, it is not limited for re- treatment of lower ureteral stones without hydro nephrosis.
出处
《中华外科杂志》
CAS
CSCD
北大核心
1994年第9期570-572,共3页
Chinese Journal of Surgery
