体外冲击波碎石术(ESWL)在日本也已证明其安全性,但少数病例经ESWL治疗后,肾功能恶化,其原因可能是结石使输尿管闭塞。作者等收治1例在ESWL治疗后,发生高肾素高醛固酮血症伴发肾功能低下病人,报告如下: 患者24岁,女。于1978、1980年右背疼痛后自然排石,于1982年5月因右背痛经腹部平片及排泄性尿路造影确诊为双肾结石(右20mm,左23mm),1984年2月16日入院。于1984年2月24日行右肾盂切开取石术,3月13日左肾盂切开取石术,术后经过良好。于1984年4月3日出院。1986年3月因左背痛再次就诊。经腹部平片及排泄性尿路造影,诊断为双肾盂结石(右15mm,左13mm)。1986年5月21日及6月4日分别对左肾盂结石和右肾盂结石采用ESWL治疗(前者 Extracorporeal shock wave lithotripsy (ESWL) has also been shown to be safe in Japan, but in a minority of patients treated with ESWL, renal function deteriorates, possibly due to stone obstruction of the ureter. The authors received 1 case of ESWL treatment, the occurrence of high renin hyperaldosteronism with renal insufficiency patients, the report is as follows: The patient was 24 years old, female. In 1978, 1980, after the right back pain natural row of stone, in May 1982 due to right back pain by abdominal plain film and excretory urography confirmed double renal calculus (right 20mm, left 23mm), February 1984 16 Day admission. On February 24, 1984 line right pelvis incision lithotomy, March 13 left pelvis incision lithotomy, after a good. Was discharged on April 3, 1984. March 1986 due to left back pain again treatment. The abdominal plain film and excretory urography, diagnosis of double renal pelvis (right 15mm, left 13mm). May 21, 1986 and June 4, respectively, left renal pelvis and right renal pelvis with ESWL treatment (the former