The effectiveness of ESWL in the management of lower pole kidney stones
Yıl: 2015 Cilt: 42 Sayı: 1 Sayfa Aralığı: 1 - 4 Metin Dili: Türkçe İndeks Tarihi: 29-07-2022
The effectiveness of ESWL in the management of lower pole kidney stones
Öz: Amaç: Üriner sistem taş hastalığının endoürolojik tedavisinde ki gelişmeler birincil seçenek tedavi yöntemleriyleilgili tartışmalara yol açmıştır. Bu çalışmamızda, böbrekalt pol taşı olan hastalara kliniğimizde uygulanan Ekstra-korporeal Şok dalga litotripsi (ESWL) tedavisinin sonuçları incelenmiştir.Yöntemler: Ocak- Temmuz 2013 tarihleri arasında kont-rastsız bilgisayarlı tomografi (BT) sonucuyla teşhis edilipkliniğimizde ESWL uygulanan 271 böbrek taşı hastasının kayıtları retrospektif olarak incelendi. Tedavi öncesiya da sonrası izlemlerde kontrastsız BT filmleri olmayanve ESWL tedavisi tamamlanmayan hastalar çalışma dışıbırakılmıştır. 52 hasta, ESWL başarısına göre iki grubaayrılmıştır. ESWL başarısı, taşın büyüklüğü, taşın yoğunluğu ve taşın cilde olan uzaklığı; kontrastsız BT kayıtlarının incelenmesi ile sağlanmıştır.Bulgular: Çalışmamız, 28 (%54) erkek ve 24 (%46) bayan hastadan oluşmaktadır. Ortalama yaş 46±12,3 (21-73) idi. ESWL tedavisi alan ve çalışmaya dahil edilen 52hastanın 24ü (%46,2) tedaviden fayda görmüştür, 28i(%53,8) tedaviden fayda görmemiştir. Ortalama taş boyutu 9.8 mm (6-17 mm), ortalama taş-cilt mesafesi 93 mm(50-140) idi, ortalama taş yoğunluğu 845 HU (353-1600)idi.Tartışma: ESWL tedavisi böbrek alt pol taşlarında halanon-invaziv ve başarılı bir yöntemdir. ESWL başarısı değerlendirilirken seçilen görüntüleme yöntemi önemlidir veabdominal BTnin kullanımı doğru değerlendirme sağlar.Minimal invaziv tedavi yöntemlerinin yüksek başarı oranları umut vericidir ve gelecekteki tedavi yöntemlerinin değişimine neden olabilir.
Anahtar Kelime: Konular:
Böbrek alt kaliks taşlarının tedavisinde ESWL nin etkinliği
Öz: Objective: The developments in the endourological treatments of urinary system stone diseases led to the dis -cussions about the frst choice treatment methods. Wehave evaluated the results of extracorporeal shock wavetreatments being applied in our clinics for the lower polestones which has the most of the those discussions.Methods: The records of 271 stone patients who wereapplied ESWL according to CT results between January2013 and July 2013 to our clinics were examined. In thecontrols after the procedure, who could not be evaluatedwith the non-contrast computerized tomography (CT)and ESWL treatment not completed, were excluded fromthe study. 52 patients with lower pole stone in total weredivided into two according to the success of the ESWLtreatment. ESWL success or unsuccessful groups, thesize of the stone, density of the stone and the distancebetween the stone and skin was recorded by examiningthe abdominal non-contrast computed tomography (CT)of the patient.Results: Of all, 28 of the patients in the study (54%) weremale and 24 of them (46%) were female. The averageage was 46±12.3 (21-73) years. Among the 52 patientsincluded in the study after ESWL treatment, the stones ofthe 24 patients (46.2%) were successfully treated. ESWLtreatment was unsuccessful in total 28 patients (53.8%).The average size of the stone was 9.8 mm (6-17 mm),the distance between the stone and the skin was 93 mmin average (50-140). The stone density was measured as845 HU (353-1600).Conclusion: The ESWL treatment is still a noninvasiveand successful method for the lower pole kidney stones.While the ESWL success is being determined, the imaging method chosen is important, the use of abdominal CTprovides accurate evaluation. The higher success rates ofminimal invasive surgery methods is promising and mightchange the treatment methods in the future.
Anahtar Kelime: Konular:
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
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| APA | suelozgen t, Budak S, celik O, Keskin M, Yalbuzdag O, ISOĞLU S, KURTULUŞ M, ilbey y (2015). The effectiveness of ESWL in the management of lower pole kidney stones. , 1 - 4. |
| Chicago | suelozgen tufan,Budak Salih,celik Orcun,Keskin Mehmet Zeynel,Yalbuzdag Okan Nabi,ISOĞLU Selçuk,KURTULUŞ Mustafa,ilbey yusuf özlem The effectiveness of ESWL in the management of lower pole kidney stones. (2015): 1 - 4. |
| MLA | suelozgen tufan,Budak Salih,celik Orcun,Keskin Mehmet Zeynel,Yalbuzdag Okan Nabi,ISOĞLU Selçuk,KURTULUŞ Mustafa,ilbey yusuf özlem The effectiveness of ESWL in the management of lower pole kidney stones. , 2015, ss.1 - 4. |
| AMA | suelozgen t,Budak S,celik O,Keskin M,Yalbuzdag O,ISOĞLU S,KURTULUŞ M,ilbey y The effectiveness of ESWL in the management of lower pole kidney stones. . 2015; 1 - 4. |
| Vancouver | suelozgen t,Budak S,celik O,Keskin M,Yalbuzdag O,ISOĞLU S,KURTULUŞ M,ilbey y The effectiveness of ESWL in the management of lower pole kidney stones. . 2015; 1 - 4. |
| IEEE | suelozgen t,Budak S,celik O,Keskin M,Yalbuzdag O,ISOĞLU S,KURTULUŞ M,ilbey y "The effectiveness of ESWL in the management of lower pole kidney stones." , ss.1 - 4, 2015. |
| ISNAD | suelozgen, tufan vd. "The effectiveness of ESWL in the management of lower pole kidney stones". (2015), 1-4. |
| APA | suelozgen t, Budak S, celik O, Keskin M, Yalbuzdag O, ISOĞLU S, KURTULUŞ M, ilbey y (2015). The effectiveness of ESWL in the management of lower pole kidney stones. Dicle Tıp Dergisi, 42(1), 1 - 4. |
| Chicago | suelozgen tufan,Budak Salih,celik Orcun,Keskin Mehmet Zeynel,Yalbuzdag Okan Nabi,ISOĞLU Selçuk,KURTULUŞ Mustafa,ilbey yusuf özlem The effectiveness of ESWL in the management of lower pole kidney stones. Dicle Tıp Dergisi 42, no.1 (2015): 1 - 4. |
| MLA | suelozgen tufan,Budak Salih,celik Orcun,Keskin Mehmet Zeynel,Yalbuzdag Okan Nabi,ISOĞLU Selçuk,KURTULUŞ Mustafa,ilbey yusuf özlem The effectiveness of ESWL in the management of lower pole kidney stones. Dicle Tıp Dergisi, vol.42, no.1, 2015, ss.1 - 4. |
| AMA | suelozgen t,Budak S,celik O,Keskin M,Yalbuzdag O,ISOĞLU S,KURTULUŞ M,ilbey y The effectiveness of ESWL in the management of lower pole kidney stones. Dicle Tıp Dergisi. 2015; 42(1): 1 - 4. |
| Vancouver | suelozgen t,Budak S,celik O,Keskin M,Yalbuzdag O,ISOĞLU S,KURTULUŞ M,ilbey y The effectiveness of ESWL in the management of lower pole kidney stones. Dicle Tıp Dergisi. 2015; 42(1): 1 - 4. |
| IEEE | suelozgen t,Budak S,celik O,Keskin M,Yalbuzdag O,ISOĞLU S,KURTULUŞ M,ilbey y "The effectiveness of ESWL in the management of lower pole kidney stones." Dicle Tıp Dergisi, 42, ss.1 - 4, 2015. |
| ISNAD | suelozgen, tufan vd. "The effectiveness of ESWL in the management of lower pole kidney stones". Dicle Tıp Dergisi 42/1 (2015), 1-4. |
