通过不同的体外冲击波石 (ESWL) 途径对结石治疗的比较分析
Shuai Yuan1,2, Ramaiyan Velmurugan3, S Prasanna Bharathi3
1Department of Urology, Shanxi Bethune Hospital, Shanxi Academy of Medical Sciences, Tongji Shanxi Hospital, Third Hospital of Shanxi Medical University, Taiyuan, 030032, China. yuan1987shuai@outlook.com.
International urology and nephrology
|April 6, 2024
概括
身体外冲击波透症 (ESWL) 对结石有效. 与背部通路相比,斜侧关节骨中线通路使用更少的能量,并且更有效率,特别是在较大的石头上.
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.
- 医疗技术 医疗技术 医学技术
背景情况:
- 结石 (结石) 影响了人口的很大一部分.
- 身体外冲击波溶解症 (ESWL) 是对结石的常见非侵入性治疗方法.
- 优化ESWL途径可以提高治疗效率和患者的治疗结果.
研究的目的:
- 用两个不同的冲击波路径来比较ESWL对结石的疗效和安全性.
- 根据冲击波传递来评估治疗参数和结果.
- 为不同的石材特性确定最佳的ESWL路径.
主要方法:
- 对264名经过ESWL的结石患者进行前性分析.
- 背部冲击波路径 (A组,n=125) 与斜侧关节中线路径 (B组,n=139) 的比较.
- 石头特征的评估 (数量,直径,CT值,皮肤到石头距离),手术内疼痛 (VAS),冲击数量,能量,石头免费率 (SFR) 在4周,并发症.
主要成果:
- 两组之间在基线特征,疼痛得分或并发症率上没有显著差异.
- B组显示总冲击波能量显著降低,所需的冲击也更少.
- 4周的无石头率总体上相似,但在B组的石头≥1.3厘米时显著更高.
结论:
- ESWL是一种安全有效的治疗结石.
- 斜侧关节中线冲击波路径需要更少的能量,并且比背部路径更有效率.
- 这种途径在较大的结石 (≥1.3厘米) 中表现出卓越的疗效.
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