Publication: La litotricia extracorpórea piezoeléctrica en el tratamiento de la litiasis urinaria
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2002
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Universidad Complutense de Madrid, Servicio de Publicaciones
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Abstract
Se realiza un estudio prospectivo de 1616 unidades renales correspondientes a 1522 pacientes litiásicos portadores de 1928 cálculos, tratados mediante litotricia extracorporea piezoeléctrica (litotritor edap lt-01), a los que se ha realizado un control clinico-terapeutico protocolizado, valorando la eficacia y limitaciones terapéuticas así como la morbilidad generada, mediante el análisis de los resultados obtenidos en cuanto a la resolucion que presenta la ecografía como método de identificación litiásica, resolución de la litiasis tratada, y complicaciones urológicas y generales que se han presentado. El tratamiento ha sido eficaz en el 85% de la litiasis tratada, comprobando que la ecografía constituye un método válido para la identificación litiásica en este método terapéutico (1.5% únicamente de fracasos en la localización l.). Las complicaciones han sido escasas (6%) y en ningún caso de carácter grave.
A prospective study of 1616 renal units corresponding to 1522 lithiasic patients with 1928 stones, treated by extracorporeal piezoelectric lithotripsy (lithotripter edap lt-01), who underwent a protocolized clinical-therapeutic control, evaluating the efficacy and limitations, was performed. Therapeutics as well as the morbidity generated, through the analysis of the results obtained in terms of the resolution presented by ultrasound as a method of lithiasic identification, resolution of the treated lithiasis, and urological and general complications that have occurred. The treatment has been effective in 85% of the lithiasis treated, proving that ultrasound is a valid method for the identification of stone in this therapeutic method (1.5% only of failures in location 1). Complications have been few (6%) and in no case of a serious nature.
A prospective study of 1616 renal units corresponding to 1522 lithiasic patients with 1928 stones, treated by extracorporeal piezoelectric lithotripsy (lithotripter edap lt-01), who underwent a protocolized clinical-therapeutic control, evaluating the efficacy and limitations, was performed. Therapeutics as well as the morbidity generated, through the analysis of the results obtained in terms of the resolution presented by ultrasound as a method of lithiasic identification, resolution of the treated lithiasis, and urological and general complications that have occurred. The treatment has been effective in 85% of the lithiasis treated, proving that ultrasound is a valid method for the identification of stone in this therapeutic method (1.5% only of failures in location 1). Complications have been few (6%) and in no case of a serious nature.
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Tesis de la Universidad Complutense de Madrid, Facultad de Medicina, Departamento de Cirugía II (Urología, Oftalmología y Otorrinolaringología), leída el 28-06-1994.