COVID-19 时代的冲击波碎石术。

IF 0.7 Q4 UROLOGY & NEPHROLOGY
Urology Annals Pub Date : 2024-01-01 Epub Date: 2024-01-25 DOI:10.4103/ua.ua_42_22
Rabie M Ibrahim, Faysal Elzawy, Ahmed Mohamed Ragheb, Akram A Elmarakbi, Osama Sayed, Amr M Lotfy, Ahmed Youssef, Hany F Badwy, Ahmed Gamal Mohamed
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引用次数: 0

摘要

研究目的该研究旨在评估能够改善冲击波碎石术(SWL)效果的因素,以跟上COVID-19大流行的步伐:方法:2020 年 6 月至 2021 年 6 月期间,研究排除了放射性不透明或微弱放射性不透明上尿路结石、结石衰减值≤1200 HU 且结石大小为 11 cm、体重指数大于 30 kg/m2 的患者。在超声和荧光透视联合引导下,以 40-50 SWs/min 的速度对患者进行前瞻性 SWL 治疗,并在第 300 次冲击时将速度提升至高功率。成功率和并发症均有记录:共有 590 名患者完成了研究。第一次治疗后,成功率为 408/590 例患者(69.15%),第二次治疗后,成功率提高到 527/590 例患者(89.3%)。术后 3 个月的成功率为 96.2%。大多数并发症为轻微并发症(1 级或 2 级):在透视和超声联合引导下,从疗程一开始就使用慢速高功率,SWL 的效果有所改善。SWL可能是大流行期间的首选方案。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Shock wave lithotripsy in the era of COVID-19.

Objective: The objective of the study y was to evaluate factors which can improve shock wave lithotripsy (SWL) results to keep up with COVID-19 pandemic.

Methods: Between June 2020 and June 2021, patients with radio-opaque or faint radio-opaque upper urinary tract stones, stone attenuation value ≤1200 HU, and stones size <2.5 cm were treated by electrohydraulic SWL. Patients with respiratory tract symptoms elevated temperature, contact with COVID-19 patients, or positive COVID-19 swab 2 weeks preoperatively, skin-to-stone distance >11 cm, and body mass index >30 kg/m2 were excluded from the study. Patients were prospectively enrolled in SWL done at a rate of 40-50 SWs/min under combined ultrasound and fluoroscopy-guided, ramped into high power in the 1st 300 shocks. Success rate and complications were recorded.

Results: Five hundred and ninety patients completed the study. The success rate after 1st session was 408/590 patients (69.15%) which was augmented by 2nd session to reach 527/590 patients 89.3%. The success rate was 96.2% at 3 months postoperatively. Most complications were mild (Grade 1 or 2).

Conclusions: SWL results improved using slow rate high power from the start of the session under combined fluoroscopy and ultrasound guidance. SWL may be a preferred option during a pandemic.

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来源期刊
Urology Annals
Urology Annals UROLOGY & NEPHROLOGY-
CiteScore
1.20
自引率
0.00%
发文量
59
审稿时长
31 weeks
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