Extracorporeal lithotripsy: anew approach to improving efficacy and objective assessment
- Авторлар: Dzeranov NK1, Moskalenko SA1
-
Мекемелер:
- Шығарылым: № 6 (2004)
- Беттер: 6-9
- Бөлім: Articles
- URL: https://journals.eco-vector.com/1728-2985/article/view/276202
- ID: 276202
Дәйексөз келтіру
Толық мәтін
Аннотация
Clinical trials of the generator EMSE 220F XXP were conducted
on the lithotriptor Dornie C" in the Research Institute of Urology from
September 2203 to January 2004. Extracorporeal lithotripsy (ECL) was
made in 158 patients (66 women and 92 men, age 11-89 years) with
different clinical forms of nephrolithiasis. The analysis of nephrolith
fragmentation showed high disintegration power of the generator in all
nephrolithiasis forms (97.4%). Maximal energy intensity in ECL of nephrolithis
was under 7 units, of ureterolithis - 10 units. The number
of additional sessions averaged 11.4% , mean Edose was 49.2 J. Complications
of early postoperative period was detected in 4 (2.5%) patients.
In two of them (1.3%) subcapsular hematomas 180 cm3 in size
were detected. The other two patients developed exacerbation of
pyelonephritis early after operation. It was managed conservatively.
Thus, EMSE 220F-XXP is a novel, highly effective source of generation
of shock-wave impulses providing finely divided fragmentation of
uroliths in 97.4% cases. A mean Edose 49.2 J effectively destructs urinary
concrements of any location with a minimal risk of postoperative
complications. Maximal intensity regimes should be used carefully with
consideration of a high risk of traumatic complications
on the lithotriptor Dornie C" in the Research Institute of Urology from
September 2203 to January 2004. Extracorporeal lithotripsy (ECL) was
made in 158 patients (66 women and 92 men, age 11-89 years) with
different clinical forms of nephrolithiasis. The analysis of nephrolith
fragmentation showed high disintegration power of the generator in all
nephrolithiasis forms (97.4%). Maximal energy intensity in ECL of nephrolithis
was under 7 units, of ureterolithis - 10 units. The number
of additional sessions averaged 11.4% , mean Edose was 49.2 J. Complications
of early postoperative period was detected in 4 (2.5%) patients.
In two of them (1.3%) subcapsular hematomas 180 cm3 in size
were detected. The other two patients developed exacerbation of
pyelonephritis early after operation. It was managed conservatively.
Thus, EMSE 220F-XXP is a novel, highly effective source of generation
of shock-wave impulses providing finely divided fragmentation of
uroliths in 97.4% cases. A mean Edose 49.2 J effectively destructs urinary
concrements of any location with a minimal risk of postoperative
complications. Maximal intensity regimes should be used carefully with
consideration of a high risk of traumatic complications
Әдебиет тізімі
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