CAJ | 학술논문

目的探讨合理使用体外冲击波碎石(ESWL)治疗小儿上尿路结石的方法与效果.方法回顾性分析2009年1月至2011年5月应用ESWL治疗上尿路结石20例的临床资料.结果 20例中,肾结石16例,肾盂结石8例,肾盏结石6例,孤独肾伴结石2例,鹿角形结石2例,双输尿管畸形伴肾结石2例；输尿管结石4例.其中,单发13例,多发7例.Ⅰ期碎石有效17例,占85％；Ⅱ期有效3例,占15％.结论使用体外冲击波碎石治疗小儿上尿路结石完全可行,疗效满意.
목적 탐토합리사용체외충격파쇄석(ESWL)치료소인상뇨로결석적방법여효과.방법 회고성분석2009년1월지2011년5월응용ESWL치료상뇨로결석20례적림상자료.결과 20례중,신결석16례,신우결석8례,신잔결석6례,고독신반결석2례,록각형결석2례,쌍수뇨관기형반신결석2례；수뇨관결석4례.기중,단발13례,다발7례.Ⅰ기쇄석유효17례,점85％；Ⅱ기유효3례,점15％.결론 사용체외충격파쇄석치료소인상뇨로결석완전가행,료효만의.
Objective To evaluate the safety and efficacy of extracorporeal shock-wave lithotripsy (ESWL) in children with upper urinary calculus.Methods From January 2009 to May 2011,20children with upper urinary calculi undertook ESWL in our department and their clinical data were reviewed.Results Various type of calculi could be seen in this study including renal pelvis calculi in 8cases,renal calyx calculi in 6 cases,single kidney with calculi in 2 cases,staghorn calculi in 2 cases,and ureter duplication with renal calculi in 2 cases,as well as ureteral calculi in 4 cases.Among them,single urinary calculi were found 13 cases; multiple urinary calculi could be seen in 7 cases.The satisfactory efficacy was achieved in 17 cases of patients (85％) in primary ESWL procedure and 3case of patients (15 ％) in secondary ESWL procedure.Conclusions ESWL is an effective and safe procedure in children with upper urinary calculus.