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ST0NELITH-V3 LİTOTRÎPTÖR KULLANIMI İLE ÜRİNER SİSTEM TAŞLARINDA ESWL BAŞARISININ DEĞERLENDİRİLMESİ

Evaluation of ESWL Success in Urinary System Stones with The Usage of Stonelith-V3 Lithotripter

Journal Name:

  • İnönü Üniversitesi Tıp Fakültesi Dergisi

Publication Year:

  • 1999

Key Words:

Keywords (Original Language):

Author NameUniversity of AuthorFaculty of Author
Abstract (2. Language): 
Between January 1998 and January 1999, 137 patients with urinary stones underwent extracorporeal shock wave lithotripsy (ESWL) in our department. Effectiveness of the treatment was assessed with plain abdominal films and ultrasonography in necessary cases. Of 137 patients, eighty seven who were followed regularly were evaluated retrospectively. Ninety one patients were male and 46 were female with an overall mean age of 39.4 (range: 10-72). Of the evaluated 87 cases, 34 were ureteral and 53 were renal stones. Median seance number was 1 (range: 1-4) with the mean shock number per each seance 2824 (range: 500-3500), the mean intensity of shock waves 18kV(range: 10-22) and mean stone surface being 0.98 cm2 (range. 0.20-2.28). Six of these patients did not continue the procedure due to intolerance. In six other cases, ESWL was unable to clear the urinary stones completely. Due to failure of the treatment two other patients underwent open surgery and two had ureterorenoscopic procedure. The success rate of ESWL was found to be 87.6% (n: 71 patients) in the evaluated 87patients and from this point of view, Stonelith-V3 ESWL instrument was found to be safe and effective in the treatment of urinary stones.
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Abstract (Original Language): 
Ocak 1998 ve Ocak 1999 tarihleri arasında kliniğimize başvuran üriner sistem taşlı 137 hasta Stonelith-V3 ESWL cihazı ile tedavi edildi. Tedavi etkinliği direkt üriner sistem grafileri ve gerekli olgularda da ultrasonogram ile değerlendirildi. ESWL uygulanan toplam 137 olgunun kontrollere gelen ve takibimizde olan 87'si değerlendirmeye alındı. Hastaların yaş ortalaması 39.4 (10-72) olup, 911 erkek, 46'sı bayandı. Değerlendirmeye alınan 87 olgunun 34'ü ureter, 53'ü böbrek taşıydı. Ortanca seans sayısı 1 (min-max: 1-4), her seans için ortalama şok sayısı 2824 (min-max: 500-3500), ortalama şok şiddeti 18 kV (min-max: 10-22kV) ve taşların ortalama yüzeyi 0.98 cm2 (0.20-2.28) idi. Seksen yedi olgunun altısı işlemi tolere edemediği için tedavi yarım bırakıldı. Altı hastanın taşları tam temizlenemedi ve takibe alındı. Tedavi başarısız olduğu için iki hastaya açık cerrahi, diğer iki hastaya da üreterorenoskopik girişim yapıldı. Toplam 71 hastanın taşı temizlendi ve tedaviyi tolere edip ESWL yapılan hastalar (n:81) topluca değerlendirildiğinde başarı oranı %87.6 olarak bulundu. Değerlendirme yapılan 87 olgu göz önüne alındığında Stonelith-V3 tipi ESWL cihazının etkili ve güvenilir olduğu kanaatine varılmıştır.
FULL TEXT (PDF): 
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  • 3
229-232
  • Turkish

REFERENCES

References: 

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