ESWL后肾损伤生化指标变化的临床研究
肾结石,,肾结石；ESWL；肾损伤生化指标变化；再次碎石间隔时间,摘要,关键词,1资料与方法,2结果,3讨论,参考文献
摘 要目的：研究体外冲击波碎石(ESWL)后肾损伤生化指标的变化，确定再次碎石的间隔时间。方法：通过碎石前后肾生化指标的测定进行分析比较。结果：血清、尿微球蛋白(β2-MG)及尿微量白蛋白(MCA)碎石后第1～3天显著升高，第5～7天逐渐恢复正常。肾功能Cr、Bun无明显变化。结论：低能量冲击下对肾组织损伤是轻微的，再次或多次碎石应间隔7～10天。
关键词 肾结石；ESWL；肾损伤生化指标变化；再次碎石间隔时间
中图分类号 R692.4
The Clinical Research into Kidney Injury Biochemical Index Change after the ESWL
YANG Jianxin,WU Xiqing,ZHANG Yu,A Gula,SU Ling,YU Lichuan,BAI Gang,YANG Xintian
(Department of Lithotripsy,the Third Hospital of Bao Gang,Baotou 014010 China)
Abstract Objective：To study the change of kidney injury biochemical index after the ESWL and to determine the intervaltime between two treatment periods. Methods: To analyse and compare the kidney biochemical index through determining them before and after lithotripsy. Results:Serum, unine β2 microglobulin (β2-MG)and microalbuminuria (MCA) rose obviously in 1-3 days after lithotripsy. They recovered to normal gradually in 5-7 days after treatment. Glomerular function Scr、Bun showed no noted change. Conclusion:It is light injury that the low energy shock wave gives the renal tissue. There should be an interval of 7 to 10 days between two treatments periods or more ......
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