體外震波碎石是否真的是一個長期安全的處理方式
古筱菁1、呂研嫚1、李經家1,2、阮雍順1,3、李威明1,4、柯宏龍1,4、葉信志1,2,4、 黃琮懿1,4、溫聖辰1,4、李香瑩1,2、周以和1,4、吳文正1,2,4、黃俊農1,4
1高雄醫學大學 附設中和紀念醫院 泌尿科
2高雄市立大同醫院
3高雄市立小港醫院
4高雄醫學大學 醫學系
Is extracorporeal shock wave lithotripsy really safe in long-term follow up?
A nationwide retrospective 6-year age matched non randomized study
Shiao-Jin Guu1、Yen-Man Lu1、Ching-Chia Li1,2、Yung-Shun Juan1,3、Wei-Ming Li1,4、 Hung-Lung Ke1,4、Hsin-Chih Yeh1,2,4、Tsung-Yi Huang1,4、Sheng-Chen Wen1,4、 Hsiang-Ying Lee1,2、Yii-Her Chou1,4、Wen-Jeng Wu1,2,4、Chun-Nung Huang1,4
1Department of Urology, Kaohsiung Medical University Hospital, Kaohsiung, Taiwan
2 Department of Urology, Kaohsiung Municipal Ta-Tung Hospital, Kaohsiung, Taiwan
3Department of Urology, Kaohsiung Municipal Siaogang Hospital, Kaohsiung, Taiwan
4Department of Urology, School of Medicine, College of Medicine, Kaohsiung Medical University, Kaohsiung, Taiwan
Purpose:
Shock wave lithotripsy is widely used. However, several studies have reported increased blood pressure immediately after shock wave lithotripsy. Until now, the association between shock wave lithotripsy and new-onset hypertension has become a topic of discussion. We aimed to determine whether shock wave lithotripsy led to new-onset hypertension.
Materials and Methods:
Data were sourced from the Longitudinal Health Insurance Database 2000 of Taiwan, Republic of China, which was compiled from 1996 to 2010 using national health insurance data. Patients who had undergone shock wave lithotripsy were compared with controls that were matched for age, sex, obesity, diabetes mellitus, and hyperlipidemia.
Results:
Patients who had undergone shock wave lithotripsy had higher incidence of new onset hypertension than that in the control groups. Furthermore, new hypertension developed faster in the shock wave lithotripsy group.
Conclusion:
Our results demonstrated an association exists between nephrolithiasis patients who were treated with SWL and subsequent hypertension diagnosis. Patients who undergo SWL may need regular follow up of blood pressure.