fa اثربخشی بالینی سنگ شکنی خارج از بدن در درمان سنگ کلیه کودکان ارولوژی کودکان Pediatric Urology كاربردي Applicable <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span b="" lang="AR-SA" nazanin="" style="font-family:">پیش‌زمینه</span>: &nbsp;<span b="" lang="AR-SA" nazanin="" style="font-family:">این مطالعه با هدف بررسی اثربخشی و پیامدهای بالینی لیتوتریپسی موج شوک خارج بدنی در درمان سنگ‌های دستگاه ادراری در کودکان زیر </span><span b="" lang="FA" nazanin="" style="font-family:">۱۵</span><span b="" lang="AR-SA" nazanin="" style="font-family:"> سال انجام شد</span>.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><span b="" lang="AR-SA" nazanin="" style="font-family:">روش‌ها: در این مطالعه از سال </span><span b="" lang="FA" nazanin="" style="font-family:">۲۰۱۷</span><span b="" lang="AR-SA" nazanin="" style="font-family:"> تا </span><span b="" lang="FA" nazanin="" style="font-family:">۲۰۲۳</span><span b="" lang="AR-SA" nazanin="" style="font-family:">، کودکان زیر </span><span b="" lang="FA" nazanin="" style="font-family:">۱۵</span><span b="" lang="AR-SA" nazanin="" style="font-family:"> سال مبتلا به سنگ کلیه که در بیمارستان لبافی‌نژاد تحت درمان قرار گرفتند، بررسی شدند. پس از </span>ESWL<span b="" lang="AR-SA" nazanin="" style="font-family:">، کودکان در </span><span b="" lang="FA" nazanin="" style="font-family:">۴۸</span><span b="" lang="AR-SA" nazanin="" style="font-family:"> ساعت، </span><span b="" lang="FA" nazanin="" style="font-family:">۱۴</span><span b="" lang="AR-SA" nazanin="" style="font-family:"> روز و </span><span b="" lang="FA" nazanin="" style="font-family:">۳</span><span b="" lang="AR-SA" nazanin="" style="font-family:"> ماه برای ارزیابی پاکسازی سنگ و وقوع عوارض پیگیری شدند. همچنین، آزمایشات بیوشیمیایی </span><span b="" lang="FA" nazanin="" style="font-family:">۴۸</span><span b="" lang="AR-SA" nazanin="" style="font-family:"> ساعت و دو هفته پس از</span> ESWL <span b="" lang="AR-SA" nazanin="" style="font-family:">انجام </span>.</span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif">&nbsp;<span b="" lang="AR-SA" nazanin="" style="font-family:">نتایج: </span><span b="" lang="FA" nazanin="" style="font-family:">۵۵</span><span b="" lang="AR-SA" nazanin="" style="font-family:"> کودک زیر </span><span b="" lang="FA" nazanin="" style="font-family:">۱۵</span><span b="" lang="AR-SA" nazanin="" style="font-family:"> سال مبتلا به سنگ کلیه که تحت</span> ESWL <span b="" lang="AR-SA" nazanin="" style="font-family:">قرار گرفتند، در این مطالعه گنجانده شدند. میانگین اندازه سنگ‌ها </span><span b="" lang="FA" nazanin="" style="font-family:">۹.۴۸</span><span b="" lang="AR-SA" nazanin="" style="font-family:"> میلی‌متر بود. میانگین تعداد جلسات</span> ESWL <span b="" lang="AR-SA" nazanin="" style="font-family:">برابر با </span><span b="" lang="FA" nazanin="" style="font-family:">۱.۲۲</span><span b="" lang="AR-SA" nazanin="" style="font-family:"> بود. در گروه بیماران زیر </span><span b="" lang="FA" nazanin="" style="font-family:">۷</span><span b="" lang="AR-SA" nazanin="" style="font-family:"> سال، میانگین تعداد جلسات </span><span b="" lang="FA" nazanin="" style="font-family:">۱.۱۶</span><span b="" lang="AR-SA" nazanin="" style="font-family:"> و در گروه بیماران بالای </span><span b="" lang="FA" nazanin="" style="font-family:">۷</span><span b="" lang="AR-SA" nazanin="" style="font-family:"> سال </span><span b="" lang="FA" nazanin="" style="font-family:">۱.۳۲</span><span b="" lang="AR-SA" nazanin="" style="font-family:"> بود. تفاوت معناداری از نظر عفونت مجاری ادراری، اندازه و مکان سنگ یا ناهنجاری‌های مادرزادی کلیه بین دو گروه مشاهده نشد. نرخ کلی موفقیت</span> ESWL <span b="" lang="AR-SA" nazanin="" style="font-family:">برابر با </span><span b="" lang="FA" nazanin="" style="font-family:">۹۰.۹</span><span arial="" lang="FA" style="font-family:">٪</span><span b="" lang="AR-SA" nazanin="" style="font-family:"> بود. دو بیمار به دلیل استرین‌استراس نیاز به مداخله داشتند. داده‌ها نشان دادند که نرخ موفقیت</span> ESWL <span b="" lang="AR-SA" nazanin="" style="font-family:">با افزایش اندازه سنگ کاهش می‌یابد. سنگ‌های بزرگتر از </span><span b="" lang="FA" nazanin="" style="font-family:">۱.۵</span><span b="" lang="AR-SA" nazanin="" style="font-family:"> سانتی‌متر نرخ شکست بیشتری برابر با </span><span b="" lang="FA" nazanin="" style="font-family:">۶۶.۷</span><span arial="" lang="FA" style="font-family:">٪</span><span b="" lang="AR-SA" nazanin="" style="font-family:"> نسبت به سنگ‌های کوچکتر داشتن</span><span b="" lang="FA" nazanin="" style="font-family:">د</span>.<span lang="FA" style="font-family:"B Nazanin""></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:115%"><span style="direction:rtl"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif">&nbsp;<span b="" lang="AR-SA" nazanin="" style="font-family:">نتیجه‌گیری: نتایج نشان داد که</span> ESWL <span b="" lang="AR-SA" nazanin="" style="font-family:">در کودکان جوان‌تر مؤثرتر است و به تعداد جلسات کمتری نیاز دارد، و این روش ایمن و مؤثر برای درمان سنگ‌های دستگاه ادراری تا </span><span b="" lang="FA" nazanin="" style="font-family:">۲</span><span b="" lang="AR-SA" nazanin="" style="font-family:"> سانتی‌متر در کودکان است. همچنین، مشخص شد که نرخ اقدامات کمکی و نرخ شکست همگی با افزایش اندازه سنگ افزایش می‌یابند</span>.</span></span></span></span></span><br> &nbsp; <span style="font-size:11pt"><span style="line-height:198%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:198%">Backgroundsː </span></span></b>This study aimed to investigate the efficacy and clinical outcomes of extracorporeal shock wave lithotripsy in treating urinary tract stones in children under 15 years.</span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:198%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:198%">Methods: </span></span></b>Children under 15 years of age with kidney and ureteral stones who were treated at Labbafinejad Hospital from 2017 to 2023 were included. These children were identified by phone and in person, and their information was recorded. After extracorporeal shock wave lithotripsy, children were followed up with ultrasound at 48 hours, 14 days, and 3 months to assess stone clearance and the occurrence of complications. Additionally, biochemical tests were performed 48hrs and two weeks after ESWL.<span style="font-size:10.0pt"><span style="line-height:198%"></span></span></span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:200%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:200%">Results: </span></span></b>55 children under 15 years of age with kidney stones who underwent ESWL were included in the study. The average stone size was 9.48 mm. The average number of ESWL sessions was 1.22. In the group of patients aged 7 years or less, the average number of ESWL sessions was 1.16, and in the group of patients over 7 years, it was 1.32. There was no statistically significant difference between the two groups. However, there was no statistically significant difference between the two groups in terms of urinary tract infection, stone size and location, or congenital kidney abnormalities. The overall success rate of ESWL was 90.9%. Two patients required intervention due to steinstrasse.<span style="letter-spacing:.8pt"> T</span>he success rate of ESWL decreased <span style="letter-spacing:-.2pt">with</span> increasing stone size. Stones larger than 1.5 cm had a significantly higher failure rate of 66.7% compared to smaller stones.</span></span></span></span><br> <span style="font-size:11pt"><span style="line-height:200%"><span style="unicode-bidi:embed"><span style="font-family:Calibri,sans-serif"><b><span style="font-size:12.0pt"><span style="line-height:200%">Conclusion</span></span></b><span style="font-size:10.0pt"><span style="line-height:200%">: </span></span>The results showed that ESWL is more effective and requires fewer sessions in younger children, and it is a safe and effective method for treating urinary tract stones up to 2 cm in children. It was also found the rate of auxiliary procedures, and the failure rate all increased with larger stone size.</span></span></span></span><br> &nbsp; سنگ شکن, سنگ کلیه, کودکان, اورولوژی ESWL, pediatric, Urology, outcome 0 0 http://urology.umsha.ac.ir/browse.php?a_code=A-10-3542-1&slc_lang=fa&sid=1 محمد حسین سلطانی mhsoltani60@gmail.com 10031947532846004907 10031947532846004907 No Shahid Beheshti University of medical Sciences دانشگاه علوم پزشکی شهید بهشتی Behrooz Shirzad بهروز شیرزاد behroozsh0457@gmail.com 10031947532846004908 10031947532846004908 No Shahid Beheshti University of medical Sciences دانشگاه علوم پزشکی شهید بهشتی Jamal Sadr جمال صدر jimsadr00@gmail.com 10031947532846004909 10031947532846004909 No Shahid Beheshti University of medical Sciences دانشگاه علوم پزشکی شهید بهشتی Mehdi Dadpour مهدی دادپور mehdi_dadpour@yahoo.com 10031947532846004910 10031947532846004910 Yes Shahid Beheshti University of medical Sciences دانشگاه علوم پزشکی شهید بهشتی