مورد إلكتروني
The effect of shock wave delivery rate on stone clearance, pain tolerance and renal injury in extracorporeal shock wave lithotripsy.
| العنوان: | The effect of shock wave delivery rate on stone clearance, pain tolerance and renal injury in extracorporeal shock wave lithotripsy. |
|---|---|
| عناروين إضافية: | 沖擊波輸出頻率在體外沖擊波碎石治療的治療成效、病人對治療忍耐程度和對腎臟創傷的影響 Chong ji bo shu chu pin lu zai ti wai chong ji bo sui shi zhi liao de zhi liao cheng xiao, bing ren dui zhi liao ren nai cheng du he dui shen zang chuang shang de ying xiang |
| بيانات النشر: | 2011 |
| تفاصيل مُضافة: | Lo, Kin Yin Anthony. Chinese University of Hong Kong Graduate School. Division of Surgery. |
| نوع الوثيقة: | Electronic Resource |
| مستخلص: | by Lo, Kin Yin Anthony. Thesis (M.Phil.)--Chinese University of Hong Kong, 2011. Includes bibliographical references (leaves 168-195). s in English and Chinese. p.i Declaration --- p.V Publications and Conference Presentations --- p.vi Scholarships and Awards --- p.vii Acknowledgements --- p.viii Table of contents --- p.X Abbreviations --- p.xiv List of Figures --- p.xvi List of Tables --- p.xvii Chapter 1. --- General Introduction --- p.1 Chapter 2. --- Literature Review --- p.7 Chapter 2.1 --- Introduction of nephrolithasis and surgical management --- p.9 Chapter 2.1.1 --- Epidemology and physiochemistry --- p.9 Chapter 2.1.2 --- Surgical management of nephrolithasis parallel with stone factors --- p.15 Chapter 2.2 --- Extracorpoeral Shock Wave Lithotripsy in present study --- p.17 Chapter 2.2.1 --- The 4th generation - Sonolith Vision electroconductive lithotripter --- p.18 Chapter 2.2.2 --- The role of shock wave delivery rate in treatment outcome and its prediction --- p.23 Chapter 2.2.3 --- Patient-controlled analgesia during Shock Wave Lithotripsy treatment and its pain management --- p.29 Chapter 2.2.4 --- Shock wave induced renal injury & the use of urinary biomarker --- p.35 Chapter 3. --- Materials and Methods --- p.62 Chapter 3.1 --- Study Design --- p.63 Chapter 3.2 --- Patient Selection --- p.64 Chapter 3.3 --- Treatment Protocol --- p.63 Chapter 3.4 --- Sample size calculation --- p.68 Chapter 3.5 --- Statistical analysis --- p.68 Chapter 4. --- The effect of shock wave delivery rate on treatment outcome and its prediction --- p.69 Chapter 4.1 --- Introduction --- p.70 Chapter 4.2 --- Materials and Methods --- p.72 Chapter 4.2.1 --- ESWL treatment protocol --- p.72 Chapter 4.2.2 --- Outcome Assessment --- p.73 Chapter 4.2.3 --- Mathematical model development --- p.75 Chapter 4.2.4 --- Statistical analysis --- p.76 Chapter 4.3 --- Results --- p.77 Chapter 4.3.1 --- Baseline characteristics and treatment modalities --- p.78 Chapter 4.3.2 --- ESWL treatment outcome --- p.79 Chapter 4.3.3 --- Mathematical model --- p.81 Chapter 4.4 --- Discussion --- p.82 Chapter 4.4.1 --- Overall treatment outcome improved by the use of slower rate --- p.82 Chapter 4.4.2 --- When should we use fast/slow rate? --- p.86 Chapter 4.4.3 --- Mathematical model to predict ESWL outcome --- p.88 Chapter 4.5 --- Conclusion --- p.91 Chapter 5. --- The role of shock wave delivery rate and patient-controlled analgesia in pain --- p.101 Chapter 5.1 --- Introduction --- p.102 Chapter 5.2 --- Materials and Methods --- p.104 Chapter 5.2.1 --- ESWL treatment protocol and PCA settings --- p.104 Chapter 5.2.2 --- Outcome Assessment --- p.105 Chapter 5.2.3 --- Statistical analysis --- p.107 Chapter 5.3 --- Results --- p.108 Chapter 5.3.1 --- Baseline characteristics and treatment modalities --- p.108 Chapter 5.3.2 --- Pain experience and satisfaction with PCA at different shock wave delivery rates --- p.108 Chapter 5.3.3 --- Correlation between rate pain --- p.110 Chapter 5.3.4 --- Vital signs --- p.110 Chapter 5.4 --- Discussion --- p.111 Chapter 5.4.1 --- Adverse complication was mild with PCA using alfentanil --- p.111 Chapter 5.4.2 --- Less pain experience with 60 SWs/min --- p.112 Chapter 5.4.3 --- Why PCA usage was the same in both groups? --- p.112 Chapter 5.4.4 --- No correlation with treatment outcome --- p.114 Chapter 5.5 --- Conclusion --- p.115 Chapter 6. --- "The relations among rate of shock wave delivery, induced renal injury and acute complications" --- p.128 Chapter 6.1 --- Introduction --- p.129 Chapter 6.2 --- Materials and Methods --- p.130 Chapter 6.2.1 --- ESWL treatment protocol --- p.130 Chapter 6.2.2 --- Outcome Assessment --- p.131 Chapter 6.2.3 --- Statistical analysis --- p.136 Chapter 6.3 --- Results --- p.137 Chapter 6.3.1 --- Baseline characteristics and treatment modalities --- p.137 Chapter 6.3.2 --- Quality control of creatinine and NAG --- p.137 Chapter 6.3.3 --- Standard curves ofIL-18 and NGAL --- p.137 Chapter 6.3.4 --- Higher levels of urinary NAG and IL-18 in 60 SWs/min group --- p.138 Chapter 6.3.5 --- Similar levels of urinary NGAL in both groups --- p.138 Chapter 6.3.6 --- Unplanned hospital visits were similar in both groups --- p.139 Chapter 6.4 --- Discussion --- p.140 Chapter 6.4.1 --- More tubular damages caused by slower rate --- p.140 Chapter 6.4.2 --- Escalated inflammatory activities in 60 SWs/min --- p.141 Chapter 6.4.3 --- Vascular damage and ischemic insults were the same in both groups? --- p.142 Chapter 6.4.4 --- Post-operative complications are similar in both groups --- p.142 Chapter 6.4.5 --- 60 SWs/min vs. 120 SWs/min - What makes the difference in renal injury? --- p.143 Chapter 6.5 --- Conclusion --- p.145 Chapter 7. --- Discussion --- p.154 Chapter 7.1 --- General discussion --- p.155 Chapter 8. --- Conclusion --- p.158 Chapter 8.1 --- General conclusion --- p.159 Appendix --- p.160 Appendix I --- p.161 Appendix II --- p.163 References --- p.167 http://library.cuhk.edu.hk/record=b5894729 Use of this resource is governed by the terms and conditions of the Creative Commons “Attribution-NonCommercial-NoDerivatives 4.0 International” License (http://creativecommons.org/licenses/by-nc-nd/4.0/) |
| مصطلحات الفهرس: | Extracorporeal shock wave lithotripsy, Urinary organs--Calculi--Treatment, Ultrasonic waves--Therapeutic use, Lithotripsy, Urinary Calculi--therapy, Ultrasonic Therapy, Text, bibliography |
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| الإتاحة: | Open access content. Open access content Use of this resource is governed by the terms and conditions of the Creative Commons “Attribution-NonCommercial-NoDerivatives 4.0 International” License (http://creativecommons.org/licenses/by-nc-nd/4.0/) |
| ملاحظة: | print xviii, 195 leaves : ill. (some col.) ; 30 cm. English Chinese |
| أرقام أخرى: | CVU oai:cuhk-dr:cuhk_327458 cuhk:327458 https://repository.lib.cuhk.edu.hk/en/item/cuhk-327458 959217116 |
| المصدر المساهم: | CHINESE UNIV OF HONG KONG From OAIster®, provided by the OCLC Cooperative. |
| رقم الأكسشن: | edsoai.ocn959217116 |
| قاعدة البيانات: | OAIster |
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