Alt kaliks taşlarında yeni nesil ESWL cihazının etkinliği
Küçük Resim Yok
Tarih
2014
Dergi Başlığı
Dergi ISSN
Cilt Başlığı
Yayıncı
Maltepe Üniversitesi
Erişim Hakkı
Attribution-NonCommercial-NoDerivs 3.0 United States
info:eu-repo/semantics/openAccess
info:eu-repo/semantics/openAccess
Özet
Amaç: Bu çalışmanın amacı retrospektif olarak böbrek alt kaliks idrar taşlarının tedavisinde yeni nesil ESWL cihazların etkinliğini araştırmaktır Metod: Yeni nesil elektromanyetik Storz Medical Modulith SLK ESWL cihazı ile taş tedavisi yapılan 151 hasta retrospektif olarak değerlendirildi. Bu çalışmada Ocak 2009-Şubat 2012 tarihleri arasında Hisar Intercontinental Hastanesi'ne başvuran 94 erkek ve 57 kadın hastanın verileri değerlendirildi. Hastaların yaşları 13-79 (ort:41 yıl) arasında idi. Taşların çapları 7-20 mm (ort:12 mm) arasında idi. Her ESWL seansında 1000-3500 (ort: 2500) şok dalgası uygulanmıştı. Üç aylık süre içinde en az 3 mm ya da daha küçük fragmanlar olduğu durumda tedavi başarılı kabul edilmiştirsunda Mueller-Hinton agarda disk diffüzyon yöntemi ile araştırılmıştır. Bulgular: Yüz ellibir alt kaliks taşının 133 ünde arınma sağlandı (% 88.1). Kalan 18 taş (% 11.9) başarısız parçalanma ve / veya rezidüel taş nedeniyle fleksibl üreterorenoskopi (URS) ile tedavi edildi. Analjezi 140 (% 92.8) hasta için gerekli oldu. Dört hastaya intravenöz Tramadol (% 2.6) ve 7 hastaya diklofenak (% 4.6) uygulandı. Hiçbir hastaya spinal veya epidural anestezi, sedasyon veya narkotik analjezikler kullanılmadı. Minör komplikasyon olarak 110 hastada (% 72.8) hematüri gözlendi. Majör komplikasyon olarak, bir hastada perirenal hematom, üç hastada taş caddesi (URS gerekli olmuştur) görüldü, ancak genel komplikasyon oranları invazif taş tedavi yöntemlerinden daha düşüktü Sonuç: Yeni nesil ESWL cihazı ile taş tedavisi 2 cm veya daha küçük olan renal kaliks taşlarınında etkili ve güvenli bulunmuştur.
Aim: To investigate the efficiency of new generation ESWL devices for the treatment of lower calyx urinary stones with data review of previous patients Method: One hundred fifty one procedures of ESWL performed by new generation electromagnetic Storz Medical Modulith SLK ESWL device were evaluated retrospectively This study contains data from 94 male and 57 female patients whose admitted to Hisar Intercontinental Hospital between January 2009 and February 2012. Ages of patients were between 13-79 (mean: 41year). The diameters of stones were between 7-20 mm (mean 12mm).An average 1000-3500 shock waves (mean: 2500) were used for each ESWL session. The procedure was accepted successful with less than 3 mm or smaller remnant stones within the following 3 months interval. Results: Hundred thirty-three stones of 151 lower calyx stones (88.1%) were removed. Remaining 18 stones (11.9%) were treated with flexible ureterorenoscopy (URS) due to unsuccessful fragmentation and/or residual stones. No analgesia was required for 140 (92.8%) patients. Intravenous Tramadol was administered to 4 (2.6 %) and intramuscular Diclophenac administered to 7 (4.6%) patients. No spinal or epidural anaesthesia, sedation or narcotic analgesics were used. Haematuria was observed in 110 (72.8%) patients as a minor complication. As major complication, a perianal haematoma was seen in one patient, stone street (which required URS) was developed at three patients, but the complication rates were less than invasive stone treatment methods Conclusion: New Generation ESWL was found efficient and safe for the treatment of lower calyx stones of 2 cm or less.
Aim: To investigate the efficiency of new generation ESWL devices for the treatment of lower calyx urinary stones with data review of previous patients Method: One hundred fifty one procedures of ESWL performed by new generation electromagnetic Storz Medical Modulith SLK ESWL device were evaluated retrospectively This study contains data from 94 male and 57 female patients whose admitted to Hisar Intercontinental Hospital between January 2009 and February 2012. Ages of patients were between 13-79 (mean: 41year). The diameters of stones were between 7-20 mm (mean 12mm).An average 1000-3500 shock waves (mean: 2500) were used for each ESWL session. The procedure was accepted successful with less than 3 mm or smaller remnant stones within the following 3 months interval. Results: Hundred thirty-three stones of 151 lower calyx stones (88.1%) were removed. Remaining 18 stones (11.9%) were treated with flexible ureterorenoscopy (URS) due to unsuccessful fragmentation and/or residual stones. No analgesia was required for 140 (92.8%) patients. Intravenous Tramadol was administered to 4 (2.6 %) and intramuscular Diclophenac administered to 7 (4.6%) patients. No spinal or epidural anaesthesia, sedation or narcotic analgesics were used. Haematuria was observed in 110 (72.8%) patients as a minor complication. As major complication, a perianal haematoma was seen in one patient, stone street (which required URS) was developed at three patients, but the complication rates were less than invasive stone treatment methods Conclusion: New Generation ESWL was found efficient and safe for the treatment of lower calyx stones of 2 cm or less.
Açıklama
Anahtar Kelimeler
ESWL, alt kaliks, üriner sistem taş hastalığı, ESWL, lower calyx, urinary system stones
Kaynak
Maltepe Tıp Dergisi
WoS Q Değeri
Scopus Q Değeri
Cilt
6
Sayı
1
Künye
Çakıroğlu, B., Sinanoğlu, O. ve Eyyüpoğlu, S. E. (2014). Alt kaliks taşlarında yeni nesil ESWL cihazının etkinliği / The efficiency of new generation ESWL device at lower calyx urinary stones. Maltepe Tıp Dergisi. 6(1), s. 11-14.
