静脉尿路造影辅助冲击波碎石治疗放射性输尿管结石的临床效果

IF 2.4 3区医学 Q2 UROLOGY & NEPHROLOGY

Asian Journal of Urology Pub Date : 2025-01-01 DOI:10.1016/j.ajur.2024.03.002

Shinya Somiya , Shigeki Koterazawa , Katsuhiro Ito , Takao Haitani , Yuki Makino , Ryuichiro Arakaki , Norio Kawase , Yoshihito Higashi , Hitoshi Yamada , Toru Kanno

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摘要

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Clinical outcomes of intravenous urography-assisted shockwave lithotripsy for radiolucent ureteral stones

Objective

We aimed to compare the clinical outcomes of intravenous urography-assisted fluoroscopy-guided shockwave lithotripsy for radiolucent ureteral stones and standard shockwave lithotripsy for radiopaque ureteral stones.

Methods

We retrospectively reviewed 734 patients with ureteral stones treated by fluoroscopy-guided shockwave lithotripsy between March 2014 and March 2021. The primary outcome was a stone-free rate with one session within 30 days, defined as no residual stones without auxiliary treatment. The multivariate analysis was used to examine whether the intravenous urography use predicted treatment success. Furthermore, we compared the outcomes using propensity score matching.

Results

Ninety-eight patients underwent the intravenous urography use protocol (Group I), and the remaining 636 patients underwent the non-intravenous urography protocol (Group N). Stone-free rates with one session within 30 days were 38% and 32% in groups I and N, respectively (p=0.3). No statistical differences were observed in the conversion rate to ureteroscopy (p=0.3) or complication rate (p=0.7) between Group I and Group N. One patient who developed skin redness was considered a complication of the contrast medium. Propensity score matching examined 88 matched pairs. Treatment success was obtained in 31 (35%) patients in Group I and 33 (38%) patients in Group N (p=0.9) within 30 days with one session.

Conclusion

Radiolucent stones can be safely and effectively treated by shockwave lithotripsy with intravenous urography.

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来源期刊

Asian Journal of Urology UROLOGY & NEPHROLOGY-

CiteScore

4.00

自引率

3.80%

发文量

100

审稿时长

4 weeks

期刊介绍： Asian Journal of Urology (AJUR), launched in October 2014, is an international peer-reviewed Open Access journal jointly founded by Shanghai Association for Science and Technology (SAST) and Second Military Medical University (SMMU). AJUR aims to build a communication platform for international researchers to effectively share scholarly achievements. It focuses on all specialties of urology both scientifically and clinically, with article types widely covering editorials, opinions, perspectives, reviews and mini-reviews, original articles, cases reports, rapid communications, and letters, etc. Fields of particular interest to the journal including, but not limited to: • Surgical oncology • Endourology • Calculi • Female urology • Erectile dysfunction • Infertility • Pediatric urology • Renal transplantation • Reconstructive surgery • Radiology • Pathology • Neurourology.