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Perbandingan Angka Bebas Batu pada Pasien Batu Kaliks dengan Pemberian Diuresis dan Tanpa Diuresis Selama ESW

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To compare effects of intravenous hydration, both with and without diuretics on the stone free rate of caluced stones during extra corporesl shockwave lithotripsy (ESWL). We analyzed 22 patients with calyceal stome, primarily treated with Somolith Vision lithotripter, between June 2008 and October 2008. Patients were divided in2 groups, the 11 patients in group 1 were injected with 500 ml normal saline for intravenous hydration, and 20 mg of furosemide for diuretic effect during ESWL: the 11 patients in group 2 were used as controls. The same energy for the shockwaves in one session wre equally applied to all patients during ESWL, with a l Hz shockwave frequency; 100% power and 1000 shock. After 2 weeks the stone free rate and residual fragments were evaluated on the post ESWL KUB and compared with the pre ESWL KUB and compared with the pre-ESWL KUB. Afater a single ESWL treatment, the stone-free was 81,8% (9 of 11 patients) ingroup 1 and 63,3% (7 of 11 patients) in group 2, The stone free rates of group 1 was higher than that of group 2, but this difference was not significant statistically. Intravenous hydration with normal saline with a furosemide injection for diuretic effect during ESWL would be same effective method to facilitate fragmentation and stone free of calyceal stones.

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Series Title

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Call Number

Jurnal Urologi Indonesia: 16(2): 37-42

Publisher

Surabaya : Ikatan Ahli Urologi Indonesia., 2009

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Language

ISBN/ISSN

0853-4438

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Edition

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Subject(s)

LITHOTRIPSY
DIURESIS

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