Comparison the efficacy and safety of lithotriptors with different focus size and energy in the management of renal calculi
10.3969/j.issn.1006-5725.2018.05.020
- VernacularTitle:不同焦斑与能量冲击波碎石机治疗肾结石的疗效及对早期肾功能影响的随机对照研究
- Author:
Jing ZHANG
1
;
Jidong XU
;
Jiawei YANG
;
Chuanyi HU
;
He ZHANG
;
Shuang LIU
;
Guoz-Eng WANG
;
Ning JIANG
Author Information
1. 上海市浦东新区公利医院泌尿外科 上海200135
- Keywords:
extracorporeal shock wave lithotripsy;
wide focus zone;
renal injury;
NGAL
- From:
The Journal of Practical Medicine
2018;34(5):774-777
- CountryChina
- Language:Chinese
-
Abstract:
Objective To compare the clinical efficacy and safety of wide-focus high energy lithotriptor with narrow-focus low energy lithotriptor treating renal calculi. Methods A prospective study was conducted to compare both modalities for the management of renal calculi.Stone formers were randomly enrolled into two groups. Group A was managed with wide-focus high energy lithotriptor,while group B was managed with the other. Urine samples were collected to detect neutrophil gelatinase-associated lipocalin(NGAL)and α1-microglobulin(α1-MG)levels before and after SWL. Results 60 were randomized to the group A and 60 to group B. There was no significant difference between two groups in stone free rate and complication rate.For stones more than 10 mm,re-treat rate(11.1%vs 39.1%,P=0.021)was lower and complication rate(25.9%vs 4.3%,P=0.038)was higher in group A. There had a larger increase of NGAL in group A(P < 0.001)after SWL. Conclusion SWL with both lithotriptors are effective and safe for renal stones.Wide-focus high energy lithotripsy was associated with lower re-treat rate and higher complication rate for stones more than 10 mm.NGAL may play a potential role in the evalua-tion of SWL induced early renal injury.
