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体外碎石禁忌(Extracorporeal lithotripsy)
体外碎石禁忌(Extracorporeal lithotripsy)
Note the contraindication of extracorporeal shock wave lithotripsy
Extracorporeal shock wave lithotripsy is the application of high-tech equipment outside the human body to produce strong shock wave energy to focus on the stones in the body parts through the crushed stones, urinary excreted in the urine of the process, is the treatment of urinary calculi is safe and effective and economic method, with the continuous development of ESWL Technology improvement, has been widely applied in clinical medicine in most patients, urinary calculi can be treated by extracorporeal shock wave lithotripsy treatment, and gradually become the preferred treatment in patients with gallstone. Stone indications widely, most patients can relieve the pain of operation stones. According to modern clinical studies, ESWL relative different calculi in patients, indications and contraindications.
Contraindications: (a) the following should be used with caution in extracorporeal shock wave lithotripsy.
1. systemic hemorrhagic disease.
2. pregnant women.
3. infectious disease activity (such as active hepatitis, dysentery, tuberculosis).
4. (due to severe diabetes prone to serious urinary tract infections).
5. non calculus urinary obstruction (such as ureteral stenosis, tumor).
6. poor general condition (the infirm, heart, lung, liver, kidney and other organs dysfunction, hypertension, arrhythmia).
7. with cardiac pacemaker.
8. previous kidney open surgery and has obvious effect of open surgery (bilateral urinary stones and severe uremia; renal or ureteral obstruction in a long time, no renal function; renal or ureteral calculi and renal abscess; diagnosis is not clear, cannot exclude stones and tumors or tuberculosis).
9. stones were located in renal parenchyma and small calyx and ipsilateral kidney stones combined with cyst.
The 10. body was too obese and stone diameter 20mm.
Generally do not need special preoperative preparation before the diagnosis of stone
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