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摘要: 体外冲击波碎石术(extracorporeal shock wave lithotripsy，ESWL)是上尿路结石安全、有效的微创治疗方法。鉴于目前国内在ESWL的应用方面存在一些问题，为进一步优化、规范ESWL的诊疗操作，由中华医学会泌尿外科学分会结石学组和中国泌尿系统结石联盟组织国内专家，参考国内外最新研究成果，对高水平证据的文献进行评估、总结，结合临床实践经验，充分讨论后编制此专家共识。Abstract: Extracorporeal shock wave lithotripsy(ESWL) is a safe and effective minimally invasive treatment method for upper urinary tract stones. Considering the existing issues in the application of ESWL in the country, in order to further standardize the therapeutic procedures of ESWL, the Calculi Group of Chinese Urology Association and Chinese Urolithiasis Consortium have organized domestic experts to evaluate and summarize the latest research findings both domestically and internationally, referencing high-level evidence-based literature. Combining this with clinical practice experience, this expert consensus has been developed through thorough discussions.
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Key words:
- extracorporeal shock wave lithotripsy /
- urinary stones /
- expert consensus
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表 1 ESWL术前抗血栓/抗凝药物停药时间建议
低血栓风险情形 药物类别 药物名称 停药时间/d ①心肌梗死、经皮冠脉介入治疗、冠状动脉旁路移植术、脑卒中6个月以后，如存在并发症则1年以后；②预防性抗血小板治疗。 抗血小板药 阿司匹林 7~10 氯吡格雷 5 替格瑞洛 3~5 普拉格雷 7 抗凝药物 达比加群 2(CrCl < 50 mL/min) 3(CrCl 50~79 mL/min) 4(CrCl ≥80 mL/min) 利伐沙班、阿哌沙班、依多沙班 2 (CrCl 15~30 mL/min) 3(CrCl ≥ 30 mL/min) 维生素K拮抗药 醋硝香豆素 2(INR<2) 3(INR 2~3) 4(INR>3) 华法林 4(INR<2) 5(INR 2~3) 6(INR>3) 
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| 引用本文: |
徐彦, 顾晓箭, 张东方, 等. 体外冲击波碎石术中国专家共识[J]. 临床泌尿外科杂志, 2024, 39(4): 265-270. doi: 10.13201/j.issn.1001-1420.2024.04.001
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| Citation: |
XU Yan, GU Xiaojian, ZHANG Dongfang, et al. Chinese expert consensus on extracorporeal shock wave lithotripsy[J]. J Clin Urol, 2024, 39(4): 265-270. doi: 10.13201/j.issn.1001-1420.2024.04.001
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