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移动与固定部位体外冲击波碎石术

Mobile versus fixed site lithotripsy.

作者信息

Lewis C, Burgess N A, Feneley R C, Matthews P N

机构信息

Department of Urology, University Hospital of Wales, Cardiff.

出版信息

Ann R Coll Surg Engl. 1991 Sep;73(5):307-10.

Abstract

The efficacy of a mobile Dornier HM4 lithotriptor, was compared with that of a fixed site Siemens Lithostar. A total of 115 calculi in 98 patients were treated, 55 on the mobile Dornier and 60 on the Lithostar. The groups were similar except for stone size, the mean of the Lithostar group being 11 mm compared with 7.7 mm in the Dornier group. Fragmentation rates were not significantly different, 88% and 75% on the mobile and fixed site machines, respectively and, at 3 months follow-up 66% and 46% were stone free or with fragments of less than 2 mm. There were no serious complications, and the incidence of mild complications was similar in the two groups. We conclude that the mobile Dornier HM4 is an effective lithotriptor and can offer several advantages over fixed site machines.

摘要

将移动式多尼尔HM4碎石机的疗效与固定式西门子Lithostar碎石机的疗效进行了比较。共治疗了98例患者的115颗结石,其中55颗在移动式多尼尔碎石机上治疗,60颗在Lithostar碎石机上治疗。除结石大小外,两组相似,Lithostar组的平均结石大小为11毫米,而多尼尔组为7.7毫米。碎石率无显著差异,移动式和固定式机器的碎石率分别为88%和75%,在3个月的随访中,结石清除或残留碎片小于2毫米的比例分别为66%和46%。没有严重并发症,两组轻度并发症的发生率相似。我们得出结论,移动式多尼尔HM4是一种有效的碎石机,与固定式机器相比有几个优点。

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