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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  KAKEN_name
岸本, 武利  KAKEN_name
坂本, 亘  KAKEN_name
杉本, 俊門  KAKEN_name
飯盛, 宏記  KAKEN_name
金澤, 利直  KAKEN_name
和田, 誠二  KAKEN_name
千住, 將明  KAKEN_name
仲谷, 達也  KAKEN_name
杉村, 一誠  KAKEN_name
前川, 正信  KAKEN_name
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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