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[使用EDAP LT-02型体外冲击波碎石机治疗上尿路结石的临床研究]

[Clinical studies on treatment by ESWL using EDAP LT-02 for upper urinary tract calculi].

作者信息

Hayashi M, Inoue K, Shigeta M

机构信息

Department of Urology, Takanobashi Central Hospital.

出版信息

Hinyokika Kiyo. 1995 Jan;41(1):15-19.

PMID:7900564
Abstract

From July 1993 through March 1994, 512 ESWL therapy was performed on upper urinary tract calculi in 277 renoureteral units using an EDAP LT-02 Lithotripter. Of these cases, 244 renoureteral units which were followed up for more than 3 months after ESWL were examined. These included 124 renal stones and 100 ureteral stones. Complete removal or sufficient stone disintegration was obtained in 66.7, 98.0 and 94.1% in the R1, R2 and R3 groups of renal stones, respectively, and in 92.4, 87.5 and 100% in the U1, U2 and U3 groups of ureteral stones, respectively. The over-all stone-free and success rates were 78.2 and 95.2%, respectively for renal stones and 93.0% and 94.0% respectively for ureteral stones. These results were better than those obtained by LT-01 in our experiences. The newly built-in coaxial X-ray system greatly contributed to these high success rates. As side effects, there were no serious complications. It is concluded that ESWL using an EDAP LT-02 is safer and more effective for the treatment of upper urinary tract calculi.

摘要

1993年7月至1994年3月,使用EDAP LT - 02碎石机对277个肾输尿管单位的上尿路结石进行了512次体外冲击波碎石术(ESWL)治疗。其中,对ESWL术后随访3个月以上的244个肾输尿管单位进行了检查。这些包括124例肾结石和100例输尿管结石。肾结石的R1、R2和R3组结石完全清除或充分粉碎率分别为66.7%、98.0%和94.1%,输尿管结石的U1、U2和U3组分别为92.4%、87.5%和100%。肾结石的总体无石率和成功率分别为78.2%和95.2%,输尿管结石分别为93.0%和94.0%。根据我们的经验,这些结果优于LT - 01取得的结果。新内置的同轴X射线系统对这些高成功率有很大贡献。作为副作用,没有严重并发症。结论是使用EDAP LT - 02进行ESWL治疗上尿路结石更安全、更有效。

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