Extracorporeal Shock Wave Lithotripsy (ESWL): Late Consequences

作者: John C. Peterson

DOI: 10.1007/978-3-662-35158-1_104

关键词: Subcapsular HematomaMedicineExtracorporeal shock wave lithotripsyRenal stone diseaseRenal blood flowSurgeryTissue damageLithotripsyInterstitial fibrosisUpper urinary tract

摘要: Since its introduction, ESWL has had a great impact on the treatment of renal stone disease. This is 90% successful for upper urinary tract stones less than 2 centimeters in diameter. The initial reports created tremendous enthisiasm and related few complications. Subsequent studies have raised concerns about recurrence rates dysfunction, as well hypertension, following lithotripsy. Studies yielded reassuringly low rates; however, duration follow-up these only years certainly more data concerning 10%–30% patients with remnant fragments are needed. Initial tissue damage, consisting subcapsular hematomas immediately localized areas interstitial fibrosis chronic animal models, provide possible explanation decreased blood flow correlated hypertension human subjects studied up to 4 after These contain small numbers corroborative needed document risks such

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