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首页> 外文期刊>BJU international >Evolution of extracorporeal shockwave lithotripsy (ESWL)
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Evolution of extracorporeal shockwave lithotripsy (ESWL)

机译：体外冲击波碎石术（ESWL）的演变

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Much has changed since the introduction of extracorporeal Shockwave lithotripsy (ESWL); however, in many ways the principles remain constant. This manuscript by Jagtap et al. [1] is a large series of patients over 25 years and encapsulates the changes in ESWL over that time. This paper has all the limitations inherent in a retrospective review but within this offers interesting data. In particular the use of two different machines and refinements in technique are eloquently described. This shows an improvement due to both the change in technology but also in the importance of modifications of technique. The particular factors improving stone-free rate (SFR) were; better localisation with ultrasonography and X-ray, better coupling and use of coupling gel, change in selection criteria for both the patient and stone, ramping up the power and a staff training programme. This emphasis on technique is especially pertinent in healthcare systems where mobile lithotripters are still in use. These are renowned to have lower SFRs than static machines, which may be due to the technical delivery of treatment as much as the efficacy of the lithotripter.
机译：自引入体外冲击波碎石术（ESWL）以来，发生了许多变化。但是，在许多方面，原则仍然保持不变。 Jagtap等人的手稿。 [1]是一系列超过25年的患者，囊括了这段时间内ESWL的变化。本文具有回顾性审查固有的所有局限性，但在此范围内提供了有趣的数据。特别是雄辩地描述了两种不同机器的使用和技术上的改进。由于技术的变化和技术修改的重要性，这显示出改进。改善无石率的特殊因素是：借助超声和X射线更好地定位，更好地耦合和使用耦合凝胶，改变患者和结石的选择标准，提高功能和员工培训计划。这种对技术的重视在仍然使用移动碎石机的医疗保健系统中尤为重要。这些设备的SFR比静态设备低，这可能是由于治疗技术的交付以及碎石机的功效所致。

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