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하부신배석의 체외충격파쇄석술: 요석완전소실률과 하부신배의 해부학적 모양과의 관계

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Author(s)
윤재식박철희김천일Jae Sik YoonChoal Hee ParkChun Il Kim
Keimyung Author(s)
Park, Choal HeeKim, Chun Il
Department
Dept. of Urology (비뇨의학)
Journal Title
대한비뇨기과학회지
Issued Date
1999
Volume
40
Issue
10
Abstract
Purpose: We analyzed our experience to determine the influence of infundibulo-pelvoureteral angle, lower calyceal width and length in predicting the clearance of fragments after extracorporal shock wave lithotripsy(ESWL) for lower calyceal stone.
Materials and Methods: From October 1995 to April 1998, a retrospective analysis of 51 patients with a solitary radiopaque lower pole calyceal stone who underwent excretory urography(IVP) preoperatively were treated ESWL with a Storz Modulith SLX third generation.
Results: The overall stone-free rate was 54.9%. Stone-free status after ESWL was significantly related to each anatomical measurement. Of the stone-free and not stone-free groups, with the infundibulo-pelvoureteral angle 40 degree or greater 21 patients were found in stone-free groups(75%) and 5 patients in not stone-free groups(21.7%), with the infundibular width >5mm 22 patients were found in stone-free groups(78.6%) and 11 patients in not stone-free groups(47.8%) and with the infundibular length ≤30mm 16 patients were found in stone-free groups(57.1%) and 5 patients in not stone-free groups(21.7%), respectively.
Conclusions: We recommend that the 3 major radiographic features of the lower pole calix should be assessed during intravenous urography to facilitate the planning of treatment for lower calyceal stones.
Key word : SWL, Lower pole anatomy, Ston free-rate
Alternative Title
Lower Caliceal Stone Clearance after Shock Wave Lithotripsy: Impact of Lower Pole Radiographic Anatomy
Keimyung Author(s)(Kor)
박철희
김천일
Publisher
School of Medicine
Citation
윤재식 et al. (1999). 하부신배석의 체외충격파쇄석술: 요석완전소실률과 하부신배의 해부학적 모양과의 관계. 대한비뇨기과학회지, 40(10), 1257–1260.
Type
Article
ISSN
2005-6737
URI
https://kumel.medlib.dsmc.or.kr/handle/2015.oak/38810
Appears in Collections:
1. School of Medicine (의과대학) > Dept. of Urology (비뇨의학)
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