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タイトル: | 尿路結石症 - その治療の変遷 - Dornier Kidney Lithotripter HM3を用いたESWL |
その他のタイトル: | Urolithiasis--a change in therapeutic methods extracorporeal shock wave lithotripsy using a Dornier kidney lithotripter HM3 |
著者: | 山本, 啓介 岸本, 武利 坂本, 亘 杉本, 俊門 飯盛, 宏記 金澤, 利直 和田, 誠二 千住, 將明 仲谷, 達也 杉村, 一誠 前川, 正信 |
著者名の別形: | YAMAMOTO, Keisuke KISHIMOTO, Taketoshi SAKAMOTO, Wataru SUGIMOTO, Toshikado IIMORI, Hiroki KANASAWA, Toshinao WADA, Seiji SENJU, Masaaki NAKATANI, Tatuya SUGIMURA, Kazunobu MAEKAWA, Masanobu |
キーワード: | ESWL Double-J stent Ureteral catheter High freguency positive pressure ventilation |
発行日: | Dec-1989 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 35 |
号: | 12 |
開始ページ: | 2093 |
終了ページ: | 2098 |
抄録: | The kidney stone of less than 2 cm can be effectively treated by extracorporeal shock wave lithotripsy (ESWL) using a Dornier kidney lithotripter HM3 without any complication that might need other therapy. However, in the case of a large kidney stone and ureteral stone, there are some difficulties in the treatment with ESWL. To obtain better results for these stones with a Dornier kidney lithotripter HM3, in the patient having a large stone a double-J stent was placed and ureteral catheter was indwelling for the ureteral stone before ESWL. In some cases high frequency positive pressure ventilation (HFPPV) was applied to make respiratory movement of the stone minimum. An indwelling double-J stent can significantly decrease the necessity of auxiliary treatment and the incidence of high fever attack. Manipulation of a ureteral stone with a ureteral catheter did not facilitate stone disintegration, and also the success rate as compared with in situ ESWL. HFPPV can decrease the stone movement within 2 mm judged on the X-ray monitor and increase the effectiveness of the shock wave on the stone, leading to minimize not only shock wave dose but also side effects from shock wave exposure. |
URI: | http://hdl.handle.net/2433/116778 |
PubMed ID: | 2618909 |
出現コレクション: | Vol.35 No.12 |
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