CAJ | 학술논문

[目的]比较同侧输尿管内多发结石ESWL不同治疗顺序对治疗效果及产生并发症轻重的影响.[方法]对82例同侧输尿管内多发结石患者进行分组,应用国产JDPN-V B型体外冲击波碎石机ESWL治疗,X线定位,对照组采取先治疗近端后治疗远端的治疗顺序;实验组采取先远端后近端的治疗顺序.[结果]对照组均有程度不同"石街"和/或其他严重并发症发生;实验组部分病例有"石街"形成但无严重并发症发生;实验组疗程明显短于对照组.[结论]在ESWL治疗同侧输尿管内多发结石时,采取先治疗远端结石后治疗近端结石的顺序,疗效优于先近端后远端的治疗顺序,而且避免了严重并发症的产生.
[목적]비교동측수뇨관내다발결석ESWL불동치료순서대치료효과급산생병발증경중적영향.[방법]대82례동측수뇨관내다발결석환자진행분조,응용국산JDPN-V B형체외충격파쇄석궤ESWL치료,X선정위,대조조채취선치료근단후치료원단적치료순서;실험조채취선원단후근단적치료순서.[결과]대조조균유정도불동"석가"화/혹기타엄중병발증발생;실험조부분병례유"석가"형성단무엄중병발증발생;실험조료정명현단우대조조.[결론]재ESWL치료동측수뇨관내다발결석시,채취선치료원단결석후치료근단결석적순서,료효우우선근단후원단적치료순서,이차피면료엄중병발증적산생.
[Objective] To compare the effects of different treatment sequences on multiple stones in homolateral ureter by extracorporeal shock wave lithotripsy (ESWL) . [Methods] 82 cases suffered from multiple stones in homolateral ureter were divided into 2 groups and treated by ESWL with home made JDPN-V B model extraocorperedl shock wave lithotripter under X-ray positioning. Experimental group was under the sequence of distal first proximal later and confrol group was under the different sequence. [Results] The rate of stone-street formation and/or other severe complication in experimental group was lower than confrol group. Also, experimental group got shorter treating time. [Conclusions] When treating multiple stones in homolateral ureter by ESWL, choosing the treating sequence distal first proximal later could get better effects and avoid severe complication.