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冲击波应用是否会影响受冲击的石头周围的尿道壁? 一个批判性评估,专注于尿道壁厚度
Hikmet Yasar1, Salih Yildirim1, Alper Asik1
1Department of Urology, Health Sciences University, Sancaktepe Training and Research Hospital, 34785 Istanbul, Turkey.
Journal of clinical medicine
|November 13, 2025
概括
对于尿路结石而言,冲击波石可能在一到两次治疗后不会对尿路组织造成伤害. 然而,对抗性石头进行多次治疗可能会产生不良影响,需要进一步研究.
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.
- 生物医学工程 生物医学工程
背景情况:
- 受影响的尿路结石构成了临床挑战.
- 非侵入性治疗比如冲击波 (SW) 应用是最好的.
- 需要评估SW对周围尿路组织的潜在影响.
研究的目的:
- 为了评估SW应用对尿管壁厚度 (UWT) 的影响,在受影响的尿管石患者.
- 为了确定SW治疗是否会影响周周尿管组织.
主要方法:
- 有114名近端尿路结石受影响的患者接受了体外冲击波石 (ESWL).
- 尿道壁厚度 (UWT),石材特征和水解被使用NCCT在手术前和后评估.
- 基于会议数量和治疗结果的比较分析.
主要成果:
- 平均UWT在第一个和第二个ESWL会话后显著下降 (p < 0.005).
- 经过三次会议 (p = 0.104),没有观察到任何显著的UWT变化.
- 在成功治疗的情况下 (p < 0.005) 发生了显著的UWT减少,但在不成功的情况下 (p = 0.145) 没有.
结论:
- 对于尿路结石的SW应用在一次或两次成功的治疗后,对于尿路组织来说似乎是安全的.
- 需要多次SW疗程的抗性石头可能会导致不良的尿路效应.
- 需要进一步的研究,以充分了解长期影响和优化治疗方案.
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