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タイトル: | 体外衝撃波(ESWL) による腎・尿管結石破砕術の臨床経験(第IV報) - 治療開始より3年間の治療経験 - |
その他のタイトル: | Clinical experiences of renal and ureteral stones by extracorporeal shock-wave lithotripsy (ESWL). IV: 3-year clinical experience of cases treated with ESWL |
著者: | 丹田, 均 加藤, 修爾 大西, 茂樹 中嶋, 久雄 毛利, 和富 |
著者名の別形: | TANDA, Hitoshi KATO, Shoji OHNISHI, Shigeki NAKAJIMA, Hisao MORI, Kazutomi |
キーワード: | Urolithiasis. ESWL |
発行日: | May-1988 |
出版者: | 泌尿器科紀要刊行会 |
誌名: | 泌尿器科紀要 |
巻: | 34 |
号: | 5 |
開始ページ: | 770 |
終了ページ: | 776 |
抄録: | We report our 3-year experience with extracorporeal shock wave lithotripsy (ESWL) since we first used it for upper urinary tract stones on September 1st, 1984. A total of 1, 225 patients (1, 320 cases) underwent 1, 647 sessions with ESWL; They consisted of 855 males (70%) and 370 females (30%). Treated stone locations were 593 renal stones, which contained 112 complete staghorn calculi, 504 ureteral stones, 110 renoureteral stones, and 1 bladder stone. ESWL monotherapy was performed on 90% of cases with renal and ureteral stones, and 46% of cases with complete staghorn calculi. In all the cases so far observed for more than 12 weeks after ESWL, 84.9% of the former showed complete discharge of the stones, and 0.7% showed no change. Only 48.9% of the later showed the complete discharge of the stones, 43.3% of which had residual stones, and 7.8% had fragments of the size of small beans. Complications, which were fever and pain, were noticed in 33.6% of the cases with renal and ureteral stones, and 64.3% of the cases with complete staghorn calculi. After ESWL, hematuria was noticed in almost cases, but the average volume of hemorrhage was 28 +/- 33 ml/day. The only contraindication of ESWL was severe obesity, and in the cases in which spontaneous stone discharge can be expected. |
URI: | http://hdl.handle.net/2433/119582 |
PubMed ID: | 3177119 |
出現コレクション: | Vol.34 No.5 |
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