Vücut Dışı Şok Dalgası İle Taş Kırma Başarısında Ultrason Kılavuzluğu ile X Işını Kılavuzluğunun Karşılaştırılması

Abstract

Objective: This retrospective study aims to compare the success rates of shock wave lithotripsy (SWL) using ultrasound (US) targeting versus X-ray targeting. Material and Methods: A retrospective chart review was conducted on patients who underwent SWL for urinary tract stones between January 1, 2018, and December 31, 2020. The patients were divided into two groups based on the imaging modality used for stone targeting during SWL: the US group and the X-ray group. The success rates of SWL, defined as complete stone clearance or clinically insignificant residual fragments (<4mm), were compared between the two groups. Results: A total of 200 patients were included in the study, with 100 patients in each group. The demographics and stone characteristics of the patients were similar between the two groups. The success rate of SWL in the US group was 84%, compared to 72% in the X-ray group (p=0.041). The odds ratio for success in the US group compared to X-ray group was 2.04 (95% confidence interval: 1.02-4.07) Conclusion: This retrospective study suggests that SWL with US targeting may have a higher success rate compared to X-ray targeting. US provides a safe and effective alternative for stone targeting during SWL, avoiding the use of ionizing radiation. Further research is warranted to confirm these findings and explore the potential benefits of US guided SWL in clinical practice.