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タイトル: 尿路結石に対するESWLの治療成績 - 単一結石911例の部位および大きさによる成績の比較検討 -
その他のタイトル: Evaluation of the results of extracorporeal shock-wave lithotripsy (ESWL) for solitary upper urinary tract stone
著者: 和田, 誠次  KAKEN_name
岸本, 武利  KAKEN_name
飴野, 靖  KAKEN_name
大山, 哲  KAKEN_name
上水流, 雅人  KAKEN_name
飯盛, 宏記  KAKEN_name
金澤, 利直  KAKEN_name
浅川, 正純  KAKEN_name
吉原, 秀高  KAKEN_name
坂本, 亘  KAKEN_name
井関, 達男  KAKEN_name
仲谷, 達也  KAKEN_name
安本, 亮二  KAKEN_name
杉本, 俊門  KAKEN_name
山本, 啓介  KAKEN_name
前川, 正信  KAKEN_name
著者名の別形: Wada, Seiji
Kishimoto, Taketoshi
Ameno, Yasushi
Ohyama, Akira
Kamizuru, Masato
Iimori, Hiroki
Kanazawa, Toshinao
Asakawa, Masazumi
Yoshihara, Hidetaka
Sakamoto, Wataru
Izeki, Tatsuo
Nakatani, Tatsuya
Yasumoto, Ryoji
Sugimoto, Toshikado
Yamamoto, Keisuke
Maekawa, Masanobu
キーワード: ESWL
Solitary upper urinary tract stone
発行日: Oct-1990
出版者: 泌尿器科紀要刊行会
誌名: 泌尿器科紀要
巻: 36
号: 10
開始ページ: 1137
終了ページ: 1140
抄録: ESWLを施行し, 追跡可能であった911例の単一結石について, 1)男性では女性に比し, 尿管結石の頻度が高かった.2)腎盂・腎杯に存在する結石に対するESWLの成績が最も良好で, 20 mm以下で87%の成功率を得た.3) ESWL成績不良部位は尿管で, 嵌頓結石症例では結石サイズが小さくとも, TULやD-Jステントカテーテル留置下でのESWLを行うべきである
At Osaka City University Hospital, we performed extracorporeal shock-wave lithotripsy (ESWL) for 1277 patients in a total of 1788 sessions using Dornier kidney lithotripter Model HM III from July, 1985 to the end of December, 1988. Among the patients with a solitary stone, 911 cases were available for the follow-up study and we have compared the results among these cases in respect to the stone location and size. The results obtained were as follows: the ratio of kidney stone to ureter stone was found to be 2.2:1 in male, and 3.8:1 in female patients. This indicates that ureter stones are more frequently found in male than in female patients. In addition, we compared the size of kidney stones found in the patients including 415 male and 243 female patients. Stones larger than 20 mm were more frequently found in female than in male patients. Moreover, a stone composition study of these patients showed that the contents of both phosphate calcium and magnesium ammonium phosphate were higher in female than in male patients. ESWL performed against stones at pelvis and calyces exhibited the best results. The results obtained with the stones less than 20 mm in diameter were especially favorable with a success rate of 100% for the stones less than 10 mm and 83% for the stones 10-20 mm, in diameter, while the results with the stones larger than 20 mm in diameter were rather poor with a success rate of 31%. ESWL performed against ureter stones showed poor results with a success rate of 63% for the stones smaller than 20 mm in diameter.
URI: http://hdl.handle.net/2433/117021
PubMed ID: 2264541
出現コレクション:Vol.36 No.10

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