关键词: Ultrasound X-ray calculus extracorporeal shock wave lithotripsy hematuria kidney

Mesh : Humans Hematuria / etiology X-Rays Taiwan / epidemiology Urolithiasis / diagnostic imaging therapy etiology Lithotripsy / adverse effects methods Ultrasonography Ultrasonography, Interventional

来  源:   DOI:10.1177/00368504231220988   PDF(Pubmed)

Abstract:
UNASSIGNED: This study investigated the use of ultrasound-guided extracorporeal shock wave lithotripsy (ESWL) to break stones in the genitourinary tract and prevent genitourinary injury. Our goals were to achieve accurate focusing and minimal X-ray exposure for the benefit of the patients.
UNASSIGNED: The LiteMed LM-9200 lithotripter with ultrasonography and fluoroscopy was used for two different procedures: autoaimed and autoperiodical. These procedures enabled dual focusing on stone localization and tracking.
UNASSIGNED: Out of 108 patients who underwent autoperiodical procedures, 29 had no gross hematuria. Among the 335 patients who received autoaimed procedures, 194 had no gross hematuria. The average duration of X-ray exposure during autoperiodical and autoaimed procedures was 120 and 50 s, respectively.
UNASSIGNED: The ultrasound-guided ESWL with minimal X-ray exposure was found to be useful in treating genitourinary upper-tract urolithiasis in the autoaimed procedure. Patients who underwent the autoaimed procedure experienced less gross hematuria compared to those who underwent the autoperiodical procedure.
摘要:
这项研究调查了使用超声引导的体外冲击波碎石术(ESWL)来打破泌尿生殖道结石并防止泌尿生殖道损伤。我们的目标是实现准确的聚焦和最小的X射线暴露,以使患者受益。
带超声和透视的LiteMedLM-9200碎石机用于两种不同的程序:自动定向和自动定期。这些程序实现了对石头定位和跟踪的双重关注。
在108名接受自动定期手术的患者中,29无肉眼血尿。在335名接受自动手术的患者中,194例没有肉眼血尿。在自动周期和自动定向过程中,X射线曝光的平均持续时间为120和50s,分别。
在自动定向手术中,发现超声引导的ESWL在治疗泌尿生殖道上尿路结石方面是有用的。与接受自动定期手术的患者相比,接受自动手术的患者的严重血尿较少。
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