ダウンロード数: 333
このアイテムのファイル:
ファイル | 記述 | サイズ | フォーマット | |
---|---|---|---|---|
39_1067.pdf | 280.9 kB | Adobe PDF | 見る/開く |
タイトル: | 第42回 日本泌尿器科学会中部総会 パネルディスカッション 「サンゴ状結石の治療」 - 司会にあたって |
その他のタイトル: | Treatments of staghorn calculi |
著者: | 板谷, 宏彬 吉田, 修 |
著者名の別形: | Itatani, Hiroaki Yoshida, Osamu |
キーワード: | Staghorn calculi Combined and monotherapy ESWL |
発行日: | Nov-1993 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 39 |
号: | 11 |
開始ページ: | 1067 |
終了ページ: | 1070 |
抄録: | The treatment of staghorn calculi is still difficult even though urolithiasis treatment can now be performed by endourology and extracorporeal shock-wave lithotripsy (ESWL) without open surgery. Because of the variety in volume and pattern of the staghorn calculi, especially with or without dilated renal pelvis and calyces, selection of treatment methods is important. The combined method of percutaneous nephrolithotomy (PNL) and ESWL has been highly effective in the complete removal of most staghorn calculi. Developments of the ESWL instrument and tools have increased the success of less invasive ESWL monotherapy with placing of stent or percutaneous nephrostomy for staghorn calculi with nondilated calyces. Also the treatment methods should be selected depending upon the components of the staghorn calculi. Dissolution and solidity, which are affected by the components, are also important factors. Complete removal of staghorn calculi is very difficult, and almost impossible to be performed in only one occasion including other surgical procedures as a series and this is the existing insurance provision. Therefore, we await the creation of a new insurance provision for the treatment of staghorn calculi. |
URI: | http://hdl.handle.net/2433/117972 |
PubMed ID: | 8266879 |
出現コレクション: | Vol.39 No.11 |
このリポジトリに保管されているアイテムはすべて著作権により保護されています。