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Scholars Journal of Applied Medical Sciences | Volume-5 | Issue-03
Evaluation of Cortico - Medullary Differentiation of Lithotripsy Patients using Ultrasound in Sudan
Zuhal Y. H. Ahmed, Ala. M. Abd Elgyoum, Ahmed Abdelrahim Mohammed
Published: March 29, 2017 | 72 74
DOI: 10.36347/sjams.2017.v05i03.043
Pages: 926-933
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Abstract
This is an observational cross-section study conducted in Khartoum state Sudan, it aimed to evaluate the kidneys Ultrasound scans of renal stone patients who underwent lithotripsy treatment. The kidneys of 156 patients were evaluated post sessions using the Cortico-medullary differentiation as an indicator to the wellbeing of the kidney, the study considered the age, gender, number, location and size of stones and number of extra corporal shock wave lithotripsy (ESWL) sessions. The kidneys were scanned by real time ultrasound represent the classes of the study in the period from March 2016 to August 2016. The scans were scored by an expert sonologist. Then all the variables were analyzed by statistical package of social studies (SPSS) to obtain the central age group and the mean stone size. The results of this study showed that age group prone to develop stones 39-48 with higher prevalence in males and the solitary stone is the commonest and the right lower pole to be the most likely affected, most of patient had one session of ESWL and their Cortico-medullary differentiation were preserved. The only common side effect was hydronephrosis. None of the patients had perirenal collection or renal scar. The study observed that as age increases stone size decreases by 0.005cm/year. The study found correlation between the increasing number of ESWL and the effect of the renal Cortico-medullary differentiation (CMD).