体外震波碎石术(ESWL)中,震波究竟能否对肾及其邻近组织造成损伤,人们的看法尚不完全一致。1989年4月以来,我们对376例泌尿系结石患者行ESWL的临床反应进行观察,并对其中6例于碎石失败后20天～15个月行手术取石者,观察其局部组织变化,结合病理检查,借以提供探讨这一问题的依据。一、临床资料本组376例,男230例,女146例,年龄16～74岁。结石直径0.5cm～5.2cm,其中0.5～0.9cm100 Extracorporeal shock wave lithotripsy (ESWL), whether the shock wave can cause damage to the kidney and its adjacent tissues, people’s opinions are not yet exactly the same. Since April 1989, we observed the clinical response of ESWL in 376 patients with urolithiasis. Six of them underwent surgical grafts from 20 days to 15 months after the failure of gravel, and observed the changes of local tissue, Pathological examination, in order to provide the basis for exploring this issue. First, clinical data The group of 376 cases, 230 males and 146 females, aged 16 to 74 years. Stone diameter 0.5cm ~ 5.2cm, of which 0.5 ~ 0.9cm100