对于下石的体外冲击波石:预测治疗成功的预测
M Mata Alcaraz1, I Laso García1, C Mínguez Ojeda1
1Servicio de Urología, Hospital Universitario Ramón y Cajal, Madrid, Spain.
Actas urologicas espanolas
|July 13, 2023
概括
对于下石的体外冲击波石 (ESWL) 实现了70.5%的无石头率. 不良的解剖学,石块大小和治疗参数预测结石患者需要额外的干预措施.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 医疗技术 医疗技术 医学技术
背景情况:
- 下体石块对体外冲击波石 (ESWL) 的治疗具有挑战性.
- 对于这些石头,在ESWL后经常观察到高比例的残留碎片.
- 了解影响ESWL成功的因素对于患者管理至关重要.
研究的目的:
- 分析ESWL治疗下石的有效性和并发症.
- 确定预测ESWL结果的解剖学和治疗相关因素.
- 评估残留碎片的速度和相关的并发症.
主要方法:
- 对512名接受ESWL治疗的患者进行了回顾性审查,以治疗下石 (2014-2020年).
- 评估下极解剖学 (内管长度,宽度,角度).
- 分析无结石率,并发症 (结石流,尿道感染,血瘤) 和需要辅助手术的情况.
主要成果:
- 整体无石头率为70.5%,其中80.3%具有良好的解剖学.
- 并发症包括斯坦斯特拉斯 (5名患者),尿路感染 (3名患者) 和周围血瘤 (2%).
- 抗血小板治疗与周围瘤相关;不利的解剖学,石头大小,冲击波数量和能量预测需要额外的治疗.
结论:
- 对于较低脏杆石,ESWL仍然是一个可行的初始治疗方法.
- 石块大小,不利的下体解剖学和治疗参数预测需要进一步干预.
- 预测因素可以指导治疗决策和ESWL结果的患者咨询.
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