今天,体外石术是尿路结石的第一线治疗方法吗?
C Minguez Ojeda1, I Laso García1, D López Curtis1
1Servicio de Urología, Hospital Universitario Ramón y Cajal, IRYCIS, Madrid. Spain.
Actas urologicas espanolas
|September 1, 2023
概括
身体外石 (SWL) 有效地治疗脏和尿路结石,大多数患者的结石大小显著减少. 这种方法显示出低并发症率,加强了其作为主要治疗选择的作用.
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:
- 结石和尿路结石 (-尿路结石) 影响了相当一部分人口.
- 目前对石头的治疗选择包括手术干预和少入侵的方法.
- 身体外石术 (SWL) 是一种非侵入性技术,利用冲击波来分解石头.
研究的目的:
- 评估SWL作为结石和尿路结石的第一线治疗的有效性.
- 为了确定与SWL治疗相关的并发症.
- 分析影响石块大小减少的因素以及随后治疗的需要.
主要方法:
- 对1727名用SWL治疗的患者进行了回顾性和观察性研究.
- 收集的数据包括患者人口统计,石材特征,SWL参数和结果.
- 多变量后勤回归被用来识别与石头大小减少,再处理和并发症相关的因素.
主要成果:
- 在89.4%的患者中,SWL实现了石头大小的减少,石头大小,尿道位置和波浪数量是重要的因素.
- 38.5%的患者需要额外的治疗,这取决于石头的大小,波数和使用的能量水平.
- 8.8%的患者出现并发症,其中石块大小和先前的尿路转移是统计学上显著的因素.
结论:
- 身体外石 (SWL) 是一种有效的第一线疗法,用于尿管石.
- 该程序与低百分比的并发症有关.
- SWL仍然是一个有价值的治疗选择,用于管理脏和尿路结石.
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