Title Šlapimtakių akmenligės gydymas ekstrakorporinės smūginės bangos litotripsijos būdu ir jo veiksmingumas /
Translation of Title Efficacy of extracorporeal shock wave lithotripsy treatment of ureteral stones.
Authors Štarolis, Edmundas ; Andreika, Laimutis ; Gatelis, Egidijus ; Dasevičius, Valdemaras ; Šilinis, Darius
DOI 10.15388/LietChirur.2005.4.2295
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Is Part of Lietuvos chirurgija.. Vilnius : Vilniaus universiteto leidykla. 2005, t. 3, Nr. 4, p. 299-304.. ISSN 1392-0995. eISSN 1648-9942
Keywords [eng] extracorporeal shockwave lithotripsy ; ureteral calculi ; treatment
Abstract [eng] Extracorporeal shock wave lithotripsy is considered as a first line treatment for the majority of ureteral stones. We investigated fragmentation and stone-free rates, depending of their localization, presence of renal colic, degree of hydronephrosis, the impact time and size of the stones. Patients and methods There is a retrospective study evaluating treatment of 371 ureteral stones for 362 patients in our department since January 1, 2003 to December 31, 2004. A total of 702 treatment sessions have been performed. Localization and size of the stones were evaluated by plain X-ray and / or intravenous pyelography. Presence or absence of renal colic, the time of impact were evaluated by anamnesis and clinical features and the degree of hydronephrosis by ultrasound and / or intravenous pyelography. The fragmentation rate has been evaluated before discharging and stone-free rate 3 months later by X-ray. Treatment failure has been considered, if 4 mm or larger fragments were still present. Results Stones in the upper and lower ureter, comparing with those in the middle, had a statistically significantly better fragmentation and stone-free rates. There was no significant difference in the treatment results between the upper and lower ureter stones. Presence or absence of renal colic did not correlate with fragmentation nor stone-free rates. The degree of hydronephrosis correlated with fragmentation rate in favour of a higher dilatation group, but not with a stone-free rate. Fragmentation rate did not correlate with the time of impact, but a correlation has been found comparing these two groups by stone-free rate, in favour of the shorter time of impact. The correlation was best comparing the groups according to the size of stones. The smaler stone-size groups demonstrated a statistically significantly better fragmentation as well as higher stone-free rates.
Published Vilnius : Vilniaus universiteto leidykla
Type Journal article
Language Lithuanian
Publication date 2005
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