Experimental study for Comparison of the Degree of Fragmentation according to the Various Levels of Shock Wave Power in Same Storage with EDAP LT-01 Plus

Choi, Chong Bo; Kim, Dong Sun

Abstract

ESWL has become the treatment of choice for urinary tract calculi in merit of non- invasiveness, high success rate, l w complication rate and with no need of anesthesia and admission. But we experienced that many patient complained pain during ESWL, especially during the treatment with high shock wave power. So we evaluated the quantity of fragmentation at different shock wave power but same storage which is known as compatible to the amount of energy. In our study, total of 60 cubic gypsums of average weight were fragmented in vitro at same storage, in 20, but at 3 different shock wave power setting, l00%, 76%, 46%, using EDAP LT- 01 device. The weight reductions at each shock wave power were 0.947+/-0.30gram (9.88% of total weight) at 100% shock wave power, 0.900+/-0.33 gram (9.94% of total weight) at 76% shock wave power, 0.310+/-0.14 gram (3.29% of total weight) at 46% shock wave power. The result indicate that the shock wave power is important role in fragmentation than the number of shock wave, even at same storage. So the efficacy of ESWL with low shock wave power will be decreased than with high shock wave power.