Al-Azhar Medical Journal. 2006; 35 (2): 265-272
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| ID: emr-75610
Biblioteca responsable:
EMRO
To evaluate the outcome of extracorporeal shock wave lithotripsy [SWL] for solitary stones = . 20 mm located within the renal pelvis based on their radiodensity. Between March 2004 and January 2006, one hundred and eight patients with solitary renal pelvic stones measuring $ 20 mm were enrolled into the study. ESWL was performed using a Domier Compact Alpha lithotriptor under sedation. Patients were grouped according to the size and radiodensity of the stone using the pre-operative KUB, into foul-groups. The first group of patients [n=22] had stones = 10 mm and stone radiodensity less than or equal to the ip-silateral !2th rib. The second group [n=31] had stones = 10 mm and stone radiodensity more than the ipsilateral 12th rib. The third group comprised 28 patients v/ith stones between 11 and 20 mm and stone radiodensity less than or qua! to the ipsilateral 12th rib. The fourth group included 27 cases with stones between 11 and 20 mm and stone radiodensity more than the ipsilateral 12th rib. Stone-free rates [SFR] were determined at 3 months by KUB. Follow-up SPR information was available in 102 patients. For stones with radiodensity less than or equal to the ipsilateral 12th rib [group 1] the overall SFR was 72% [36/50] while in cases with stone radiodensity more than the ipsilateral 12th rib the overall SFR was 67.2% [39/58]. Considering stone size, for stones = 10 mm within the renal pelvis, the SFRs were nearly similar 77.3% [17/22] and 74.2% [23/31] regardless of stone radiodensity. For stones between 11 and 20 mm, the SFR was 59.3% [16/27] if the stone had a radiodensity > 12th rib compared to a SFR of 67.9% [19/28] if the stone radiodensity was < 12 th rib. Stone composition was available in 68.5% of treated patients [n=74], but no correlation was found between stone radiodensity and stone composition. On the Domier compact alpha machine, stone radiodensity alone does not predict lithotripsy treatment outcome for stones = 10 mm within the renal pelvis. This parameter is probably only useful as the stone size becomes larger than 10 mm, and should be used in conjunction with other stone parameters to select appropriate therapy
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Índice:
IMEMR
Asunto principal:
Litotricia
/
Tomografía Computarizada por Rayos X
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Resultado del Tratamiento
Tipo de estudio:
Prognostic_studies
Límite:
Female
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Humans
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Male
Idioma:
En
Revista:
Al-Azhar Med. J.
Año:
2006