患肾结石后出现梗阻、积水，43岁的男子寄希望于“无创”体外震波碎石，短时间内反复施治。日前他愕然得知，频繁震荡已经导致肾纤维化，部分肾功能丧失。更痛心的是，丧失的肾功能不可逆转。

    Kidney stones after the obstruction/The water,43 year old man in the hope of"noninvasive"Extracorporeal shock wave lithotripsy,In a short period of time again and again.Before his startled to learn that,Frequent volatility has led to renal fibrosis,Partial loss of kidney function.What is more painful,Loss of renal function is irreversible.

    43岁的黄先生家住汉阳，前年因腰部胀痛就诊，经查为右肾结石，因结石体积较大，医生认为体外震波碎石术疗效不佳，曾建议手术碎石取石。黄先生不愿意手术。

    43, Mr. Huang, who lives in hanyang,Due from the waist pain clinic,As for the right kidney stones,Because of the stone volume is bigger,Doctors think extracorporeal shock wave lithotripsy effect not beautiful,The stones suggested surgery of gravel.Mr. Huang, don't want to surgery.

    听说体外震波碎石无痛无创，石头在体内被打碎后能自行排出。去年开始，黄先生在一家医院接受“无创”体外震波碎石治疗，平均一个月要做一到两次。黄先生间断排出少许碎石渣，但结石尚未完全排出。

    I heard pain-free non-invasive extracorporeal shock wave lithotripsy,Can pass spontaneously after stones in the body broken.The last year,Mr. Huang, in a hospital"noninvasive"Extracorporeal shock wave lithotripsy for treatment,To do one or two times a month on average.With a little gravel intermittent discharge slag Mr. Huang,But the stone has not been fully discharge.

    最近，黄先生复查结果显示肾积水逐步加重，遂转往武汉市第一医院泌尿外科就诊。检查发现，黄先生右肾内为多发结石，伴有重度肾积水，右肾还出现纤维化现象。这意味着，他的肾功能已经受损。

    recently,Mr Huang review according to the results of hydronephrosis aggravate gradually,Then moved to wuhan first hospital uropoiesis surgical department doctor.Inspection found that,Mr Huang for multiple stones in right kidney,Accompanied by severe hydronephrosis,Right kidney fibrosis occurs.This means that,His kidney has been damaged.

    该院泌尿外科主任章传华，听闻黄先生做了十几次体外震波碎石，大吃一惊，直言：多次、反复体外震波碎石，可能比肾结石本身对肾脏的损害更严重。黄先生当即表示愿意住院手术。昨天，黄先生接受了经皮肾镜碎石的微创手术，章传华在他腰背部打了个1厘米小孔，建立直达肾脏的通道，自通道导入肾镜和激光光纤，粉碎结石后排出。

    The hospital uropoiesis surgical department director ZhangChuanHua,Heard that Mr. Huang made dozens of extracorporeal shock wave lithotripsy,By surprise,outspoken:Many times/Repeated extracorporeal shock wave lithotripsy,Might be more serious than the damage to the kidney stones itself.Mr Huang was offered to surgery in hospital.yesterday,Mr. Huang received percutaneous nephroscope lithotripsy of minimally invasive surgery,ZhangChuanHua played a 1 cm hole in his lower back,Established through the kidney channel,Since the channel to import mirror and laser optical fiber,Out of the back of crushed stone.

    56岁曾先生住在黄先生隔壁病房，同为肾结石，也做了十来次体外震波碎石，结果更严重：出现肾积脓。必须先打洞引流排脓，才能做手术取石。章传华说，这类病人并不少见，一年下来可以碰到二十多例。

    Mr, 56, who lived next to Mr. Huang ward,With kidney stones,Also do a dozen times extracorporeal shock wave lithotripsy,The result is more serious:A kidney empyema.You must first make hole drainage abscess,The stones can do surgery.ZhangChuanHua said,These patients are not uncommon,A year can be met more than twenty cases.

    体外震波碎石的伤害看不到  Extracorporeal shock wave lithotripsy damage can't see

    目前在泌尿外科，体外震波碎石的运用很广泛，对于大部分体积较小、肾功能良好的肾结石患者，确实有效。但该治疗方法并不像一些广告宣传的，无创、无痛。对于极个别病人来说，甚至有致命危害。

    At present in urology,Extracorporeal shock wave lithotripsy is a widely used,For most of the smaller/Renal function of patients with kidney stone,Really effective.But the treatment is not like some advertising,noninvasive/painless.For an individual patient,There are even fatal harm.

    体外震波碎石，主要起作用的是电磁波。早年间，章传华曾遇到过一名带有心脏起搏器的病人，接受体外震波碎石，电磁波影响心脏起搏器，导致该病人猝死。

    Extracorporeal shock wave lithotripsy,Main work is electromagnetic waves.Early years,ZhangChuanHua have encountered a patient with a pacemaker,Accept the extracorporeal shock wave lithotripsy,Electromagnetic waves affect pacemakers,Lead to the sudden death of patients.

    对于大多数病人来说，短时间内密集碎石，电磁波作用于人体，可能导致肾脏内血管的改变，肾脏纤维化等严重后果。而这种伤害肉眼看不到，更容易使人麻痹大意。

    For most patients,In a short period of time dense gravel,Electromagnetic wave ACTS on human body,May lead to renal blood vessels in the change,Kidney fibrosis and serious consequences.And this kind of damage is invisible to the naked eye,Make people easier to paralysis.

    在武汉市第一医院泌尿外科，使用体外震波碎石有严格的规定：治疗前做评估，严格掌握适应症和禁忌症；使用3次，每次间隔一周，若看不到疗效，马上停止，建议病人选择其他治疗方法。

    In wuhan first hospital uropoiesis surgical department,There are strict rules using extracorporeal shock wave lithotripsy:Do evaluation before treatment,Strictly grasp the indications and contraindications;Use 3 times,Each time interval of a week,If can't see the effect,Stop immediately,Suggested that the patients choose other treatments.

    章传华说，肾结石的类型很多，草酸钙肾结石、磷酸钙肾结石这两种结石，质地松软，电磁波能够有效粉碎，但嘌呤类结石、代谢类结石，质地坚硬，电磁波作用有限。

    ZhangChuanHua said,The many types of kidney stones,Calcium oxalate kidney stone/Calcium phosphate kidney stones the two stones,Quality of a material soft,Electromagnetic wave can effectively,But the purine calculi/Metabolic type of stones,Quality of a material is solid,Electromagnetic waves.

    章传华说，结石种类无法预先判断，只能事后通过仪器测定。除此之外，体外震波碎石的禁忌不少，一般能通过事先检查判断。

    ZhangChuanHua said,Stone species cannot prejudge,Can only through the measurement instrument.In addition to this,The taboo of extracorporeal shock wave lithotripsy,General judgment to pass the inspection in advance.

    该治疗方法的先决条件是，具备肾功能，结石下方尿路通畅，否则碎石以后结石排不出来怎么办？“碎石是手段，排石才是目的。”章传华强调。

    The treatment method is a precondition,Have the kidney function,Below the stone tract unobstructed,Otherwise the gravel stone row after don't come out?"Gravel is means,Row of stone is the destination."ZhangChuanHua stressed.

    B超等初步检查必不可少，检查结果能提示肾结石的大小、位置。章传华说，小于2厘米的结石，比较适合体外震波碎石。如果结石超过2厘米，慎选该方法，很可能打碎了石头，碎石子形成一串石衔，导致排石困难。

    An initial check B chao deng is indispensable,The results could suggest the size of the kidney stones/position.ZhangChuanHua said,The stone is less than 2 cm,More suitable for extracorporeal shock wave lithotripsy.If the stones more than 2 cm,Choice of the method,Is likely to break the stone,A string of rock bit gravel formation,Led to the stone to be difficult.

    结石的位置也很重要，如果结石位于输尿管下端，体外震波碎石很可能力有不逮。章传华解释，电磁波通常通过肌肉等介质起作用，如果结石处于输尿管下端，电磁波改为通过骨头、体内气体等介质起作用，电磁波散射难聚焦，作用有限。

    The position of the stone is also very important,If the stone is located in the lower end ureter,Extracorporeal shock wave lithotripsy is ability to have depth.ZhangChuanHua explain,Electromagnetic waves usually by muscles and other work,If the stones in the lower end ureter,Instead of electromagnetic waves through the bone/Gases such as media play a role in the body,The electromagnetic scattering is hard to focus,Role co., LTD..

    除B超外，如有需要建议再做一项静脉尿路造影。肾结石从B超看来也就是一个点，静脉尿路造影能明确“点”的性质。

    In addition to the ultrasound,Advice as and when required to do a vein urinary tract imaging.Kidney stones by ultrasound is also appears to be a point,Intravenous urinary tract imaging can clearly"point"The nature of the.

    此外，如果病人泌尿系统有感染、容易出血、怀孕、装有心脏起搏器、过度肥胖，都不适合做体外震波碎石。

    In addition,If the patient with urinary tract infections/Easy to bleeding/pregnancy/Equipped with cardiac pacemakers/obesity,Are not suitable for extracorporeal shock wave lithotripsy.