EDAP LT-01+ 체외충격파쇄석기를 이용한 요로결석 치험 1,237례 = Clinical Experience with EDAP LT-01+ Extracorporeal Shock Wave Lithotripsy ; A Report of 1,237 Cases

다국어 초록 (Multilingual Abstract)

Between February 8, 1990 and February 28, 1993, 1,237 renal units in 1,081 patients with urinary stones were treated by extracorporeal shock wave lithotripsy(ESWL) with the EDAP LT-01+lithotriptor.
The results were obtained as follows ;
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 440(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 4㎜ 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 26 cases and steinstrasse in 51 cases.
We conclude that extracorporeal shock wave lithotripsy with EDAP LT-01+lithotriptor is a safe and effective procedure for the treatment of urinary stones.