Kim Fernando J, Rice Kevin R
Department of Surgery, Division of Urology, Denver Health Medical Center and University of Colorado Health Sciences Center, Denver, Colorado, USA.
Curr Opin Urol. 2006 Mar;16(2):88-92. doi: 10.1097/01.mou.0000193373.22318.68.
To evaluate recent developments in predicting the failure of shockwave lithotripsy when treating patients with urinary tract stones.
Although the features of patients with stones, as well as of the stones themselves, associated with refractoriness to shockwave lithotripsy are fairly well defined, refining the preoperative detection of these traits and optimizing the efficacy of shockwave lithotripsy are still under investigation. Several studies have recently focused on improving the radiological appraisal of stone size and composition through the use of axial computed tomography and reconstruction software. Other investigators have researched techniques to increase the efficacy of the technology underlying shockwave lithotripsy, such as varying the shockwave delivery rate and method.
Investigators have demonstrated different factors and predictors that affect shockwave lithotripsy for stone disease. Continued research will better define patient selection and the role of shockwave lithotripsy in the treatment of urolithiasis.
评估治疗尿路结石患者时预测冲击波碎石术失败的近期进展。
尽管与冲击波碎石术抵抗相关的结石患者特征以及结石本身特征已相当明确，但术前对这些特征的检测优化以及冲击波碎石术疗效的优化仍在研究中。最近有多项研究聚焦于通过使用轴向计算机断层扫描和重建软件来改进结石大小和成分的放射学评估。其他研究者则研究了提高冲击波碎石术基础技术疗效的方法，如改变冲击波传递速率和方法。
研究者已证实了影响结石疾病冲击波碎石术的不同因素和预测指标。持续的研究将更好地明确患者选择以及冲击波碎石术在尿路结石治疗中的作用。
