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首页> 外文期刊>Surgical Endoscopy >How effective is extracorporeal shock wave lithotripsy of ureteral stones with Dornier Lithotripter S EMSE 220F-XXP? A prospective and preliminary assessment.
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How effective is extracorporeal shock wave lithotripsy of ureteral stones with Dornier Lithotripter S EMSE 220F-XXP? A prospective and preliminary assessment.

机译：Dornier碎石机S EMSE 220F-XXP对输尿管结石的体外冲击波碎石效果如何？前瞻性和初步评估。

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AIM: To report our preliminary series with the Doli S EMSE 220F-XXP, the upgraded version of the previous Dornier Lithotripter S EMSE 220, for treatment of ureteral stones. METHODS: Since July 2006, a total of 200 patients with ureteral stones were submitted to shock wave lithotripsy (SWL) with Doli S EMSE 220F-XXP. Mean stone size was 9.3 mm (range 6-18 mm). Ureteral stone location was proximal in 75, middle in 34, and distal in 91. Follow-up was carried out at 6 weeks after the treatment, by means of kidney-ureter-bladder (KUB) film and ultrasound, or helical computed tomography (CT). RESULTS: The overall stone-free rate was 89.5%, and the effectiveness quotient was 80. Stratifying by stone site, the stone-free rate was 93.3, 67.6, and 94.5% for proximal, middle, and distal location, respectively. Mean number of sessions per patient was 1.14. Analgesia with intravenous ketorolac or tramadol was required in 42.5% of cases. No significant side-effects were recorded. CONCLUSIONS: The new Doli S EMSE 220F-XXP provides similar characteristics to the Doli S EMSE 220 in terms of safety and lack of major complications, when dealing with ureteral stones; the improvement in stone disintegration is particularly evident for distal location, for which the number of pulses and the intensity of treatment can be greatly increased and the upgraded power of the device can be widely applied.
机译：目的：报告我们与Doli S EMSE 220F-XXP的初步系列，该系列是先前的Dornier碎石机S EMSE 220的升级版，用于治疗输尿管结石。方法：自2006年7月以来，共有200例输尿管结石患者接受了Doli S EMSE 220F-XXP冲击波碎石术（SWL）治疗。平均石材尺寸为9.3毫米（范围6-18毫米）。输尿管结石的位置在近端75个，在中间34个，在远端91个。治疗后第6周，通过肾输尿管膀胱镜（KUB）和超声检查或螺旋计算机断层扫描（ CT）。结果：整体无结石率为89.5％，有效商为80。按结石部位分层，近端，中部和远端的无结石率分别为93.3、67.6和94.5％。每位患者的平均会话数为1.14。 42.5％的病例需要使用静脉注射酮咯酸或曲马多镇痛。没有记录到明显的副作用。结论：新的Doli S EMSE 220F-XXP在处理输尿管结石时，在安全性和无重大并发症方面具有与Doli S EMSE 220类似的特征。对于远端定位，结石崩解的改善尤为明显，为此可以大大增加脉冲数和治疗强度，并且可以广泛地使用该装置的升级功率。

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