Extracorporeal shock wave lithotripsy in the treatment of renal ... | 合法醫療器材資訊網

由FCMTorricelli著作·2015·被引用41次—Theuseofcertaintechnicalprinciplesandtheselectionoffavorablecasescanoptimizetheresultsofextracorporealshockwavelithotripsy(ESWL).Theaimof ...

The use of certain technical principles and the selection of favorable cases can optimize the results of extracorporeal shock wave lithotripsy (ESWL). The aim of this study is to review how ESWL works, its indications and contraindications, predictive factors for success, and its complications. A search was conducted on the Pubmed® database between January 1984 and October 2013 using "shock wave lithotripsy" and "stone" as key-words. Only articles with a high level of evidence, in English, and conducted in humans, such as clinical trials or review/meta-analysis, were included. To optimize the search for the ESWL results, several technical factors including type of lithotripsy device, energy and frequency of pulses, coupling of the patient to the lithotriptor, location of the calculus, and type of anesthesia should be taken into consideration. Other factors related to the patient, stone size and density, skin to ston...