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KMID : 0371619930090010131
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Journal of Wonkwang Medical Science
1993 Volume.9 No. 1 p.131 ~ p.140
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Clinical Experience with EDAP LT-01+ Extracorporeal Shock Wave Lithotripsy : A Report of 1,237 Cases
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Abstract
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Between February 8, 1990 and February 28, 1993, 1,237 renal units in 1,081 patients with urinary stones were treated by extracorporeal shock were lithotripsy(ESWL) with the EDAP LT-01+lithotriptor.
@ES The results were obtained as follows:
@EN 1. The average patient age was 44.3 years, with a range of 16 months to 92 years. The sex ratio was about 1.46: 1, 641(59.3%) male and 44(40.7%) female patients.
2. The locations of stones were kidney in 564 cases(45.6%) including 35 cases of staghorn calculi, ureter in 665 cases(53.8%) and bladder in 8 cases(0.6%).
3. The average number of treatments was 3.5 sessions and average treatment time was 36.5 minutes.
4. Of the 1,237 cases, 105 cases(8.5%) complained of severe pain and requires intravenous or intramuscular analgesics.
5. The success rate of treatment-ended patients(including particles less than 4mm in size) was 95.0%.
6. Additional measures used were : push up procedures in 30 cases and double-J stenting in 54 cases.
7. The post-ESWL complications were persistent gross hematuria lasting more than three days in 22 cases, high fever(>38℃) in 25 cases and steinstrasse in 51 cases.
We conclude that exracorporeal shock wave lithotripsy with EDAP LT-01+ lithotriptor is a safe and effective procedure for the treatment of urinary stones.
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