extracorporeal shock-wave lithotripsy

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extracorporeal shock-wave lithotripsy

[‚ek·strə·kȯr¦pȯr·ē·əl ¦shäk‚wāv ′lith·ə‚trip·sē]
(medicine)
A treatment for renal calculi (kidney stones) in which powerful ultrasonic shock waves are focused on the stones, thereby breaking them into small fragments that can be excreted, thus avoiding surgery. Also known as lithotripsy.
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The present study shows that significantly more number of PCNL treatment acceptors belonged to upper socioeconomic class followed by other economic classes and most of the ESWL and URSL treatment acceptors were from middle and lower socio-economic classes {[chi square]= 5.
Hastalara ait demografik veriler Sayi, n 23 Yas, yil 10,9[+ or -]3 Cinsiyet, Kiz/Erkek 11/12 Tas boyutu, mm 13,7[+ or -]3,5 Tas lokalizasyonu, n Ust pol 2 Orta pol 6 Alt pol 12 Multiple pol 3 ESWL oykusu, n, (%) 17 (73) Radyoopasite, n (%) Opak 12 (52,1) Semi-opak 9 (39,1) Non-opak 2 (8,6) Hidronefroz derecesi (%) Yok - minimal 69,5 (16/23) Orta - siddetli 30,4 (7/23) Tablo 2.
This method could further be extended to predict the fragility of stones before subjecting them to ESWL treatment, so as to improve the success rates of this non-invasive modality of treatment.
The rate of bacteremia following ESWL has been reported to be as high as 14%.
However, the doctor cautioned that without proper treatment, after a stone has passed, or been removed surgically or fragmented with ESWL, the recurrence rate is approximately 50%.
Due to the difficulty of localization in distal and medial ureter stones and poor fragmentation, ESWL has a limited efficacy.
However, the upper urinary tract calculi that are too large to treat with ESWL are most commonly cleared with a minimally invasive surgical procedure called percutaneous nephrolithotripsy (PCNL).
Kulkens et al22 demonstrated a connection between the location of the parotid calculi and the success of extracorporeal shock wave lithotripsy (ESWL), in their study 10 patients had intra-parenchymal calculi, and after ESWL treatment 5 of them were free of calculi.
Stream: long term radiographic and functional outcomes of ESWL Induced peri-renal haematoma.