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タイトル: | 尿路結石症 - その治療の変遷 - 内視鏡操作による上部尿路結石の治療 |
その他のタイトル: | Changes in the management of urolithiasis: endourologic treatment of calculi in the upper urinary tract |
著者: | 平尾, 佳彦 大園, 誠一郎 岡本, 新司 守屋, 昭 中辻, 史好 岡島, 英五郎 平松, 侃 吉田, 宏二郎 山田, 薫 生間, 昇一郎 小厚, 壮一 馬場谷, 勝廣 丸山, 良夫 橋本, 雅善 渡辺, 秀次 青山, 秀雄 窪田, 一男 |
著者名の別形: | HIRAO, Yoshihiko OZONO, Seiichiro OKAMOTO, Shinji MORIYA, Akira NAKATSUJI, Fumiyoshi OKAJIMA, Eigoro HIRAMATSU, Tadashi YOSHIDA, Koujiro YAMADA, Kaoru IKUMA, Shouichiro OHARA, Soichi BABAYA, Katsuhiro MARUYAMA, Yoshio HASHIMOTO, Masayoshi WATANABE, Shuji AOYAMA, Hideo KUBOTA, Kazuo |
キーワード: | Urolithiasis Upper urinary tract Endourology Percutaneous nephrolithotripsy (PNL) Transurethral ureterolithotripsy (TUL) |
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: | 2077 |
終了ページ: | 2086 |
抄録: | Three hundred seventy cases with calculi in upper urinary tract were treated by endourology, 210 cases were subjects of percutaneous nephrolithotripsy (PNL) and 160 cases of transurethral ureterolithotripsy (TUL), in Nara Medical University Hospital and 13 affiliated hospitals. Of the PNL cases, PNL was completed in 184 cases (87.6%) and not completed in 16 cases (12.4%). 168 cases (80.0%) had successful results by PNL alone, stone-free or stone fragments less than 5 mm, in spite of the stone location and size. No serious adverse effect was experienced throughout the study. However, changes like a scar formation or fibrosis around the nephrostomy tract were revealed as a late complication by excretory urography, computed tomography and renal scanning. Of the 160 TUL cases, TUL was successful in 132 cases (82.5%) and unsuccessful in 28 cases (17.5%). The results of TUL for the calculi above the upper iliac cresta were not favorable, success rate for stone 6-10 mm in diameter was 70.3% and that for stones larger than 11 mm 37.5%. However, the results of TUL for the calculi below the upper ileac cresta were favorable, the success rate for the 6-10 mm calculi was 91.5% and for the calculi larger than 11 mm 88.4%. Of 28 TUL failures, 7 cases underwent PNL and 21 cases received open surgery. Throughout our endourologic treatments, the most problematic stone was calculi impact in the ureter. The indication of endourology for the calculi in upper urinary tract is discussed with consideration of ESWL which is becoming the main stream of stone treatment. |
URI: | http://hdl.handle.net/2433/116780 |
PubMed ID: | 2694833 |
出現コレクション: | Vol.35 No.12 |
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