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Florent Beaujouan¹, Frédéric Panthier², Olivier Traxer³

¹Service d'urologie, centre hospitalier universitaire de Limoges, 2, avenue Martin-Luther-King, 87000 Limoges, France.

The French journal of urology

|February 14, 2025

概括

紧急体外冲击波石 (ESWL) 有效地管理尿路结石引起的急性结肠痛,提供高的疼痛缓解和石头清除率. 这种安全可靠的选择显示了与延迟ESWL相比的并发症率.

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.
紧急医疗紧急医疗

背景情况:

由于尿路结石而引起的急性 (ARC) 是一种常见的紧急情况.
管理通常涉及疼痛控制和石头去除.
身体外冲击波石 (ESWL) 是一种标准的治疗方法,但它在急性情况下的作用正在审查中.

研究的目的:

对急性结 (ARC) 引起的尿路结石的紧急体外冲击波石 (eESWL) 的安全性和效率进行叙述性审查.
与延迟ESWL (dESWL) 相比,评估eESWL的疼痛缓解,石头清除和并发症率.

主要方法:

在Scopus,Web of Science,Embase和PubMed数据库中进行了系统的文献搜索.
使用特定的关键字和过器识别了关于ARC紧急管理ESWL的原始研究文章.
数据异质性使得需要对所选14项研究进行全面的综合分析.

主要成果:

紧急ESWL (eESWL) 用于单个无线电不透明的尿路结石 (5-20mm) 在没有禁忌或复杂表现的患者中.
在48-89%的病例中,疼痛得到缓解,中下尿路结石的发病率更高.
一个月和三个月的无石头率 (SFR) 分别为60-94%和82-86%.
与dESWL相比,eESWL的辅助程序率较低,并发症率相似.

结论:

紧急ESWL是一种有效和安全的治疗急性结,由单个无线电不透明的尿路结石 (5-10mm) 引起.
它在一个月内提供高疼痛缓解和无石头率,与延迟ESWL相比.
在ARC发生后48小时内,eESWL是一种可靠的紧急选择,没有增加并发症风险.

关键词:

急性脏结肠急性计算了尿道和道的数量.这是一种结性神经.紧急的体外冲击波石质三维精神.在紧急情况下Lithotritie外体.尿道结石尿道结石

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