CAJ | 학술논문

目的通过测量输尿管结石的CT值并结合结石大小更合理地选择性ESWL治疗,在提高输尿管结石治疗成功率的同时减小治疗带来的创伤.方法回顾性分析本院近3年来ESWL治疗的971例输尿管结石患者,统计学分析相同大小结石组内不同CT值区间的结石碎石成功率之间的差异.结果 CT值大于900Hu时随着结石体积的增大碎石成功率下降明显:分别为73.2％ (41/56)、38.5％(15/39)、17.6％ (3/17),且与同组内CT值小于900Hu时的结石碎石成功率之间的差异均有统计学意义;当CT值≤500Hu时,碎石成功率均在90％以上且不同大小结石组之间碎石成功率差异无统计学意义.结论根据输尿管结石的CT值并结合结石大小,可以更合理的选择性SWL治疗.
목적 통과측량수뇨관결석적CT치병결합결석대소경합리지선택성ESWL치료,재제고수뇨관결석치료성공솔적동시감소치료대래적창상.방법 회고성분석본원근3년래ESWL치료적971례수뇨관결석환자,통계학분석상동대소결석조내불동CT치구간적결석쇄석성공솔지간적차이.결과 CT치대우900Hu시수착결석체적적증대쇄석성공솔하강명현:분별위73.2％ (41/56)、38.5％(15/39)、17.6％ (3/17),차여동조내CT치소우900Hu시적결석쇄석성공솔지간적차이균유통계학의의;당CT치≤500Hu시,쇄석성공솔균재90％이상차불동대소결석조지간쇄석성공솔차이무통계학의의.결론 근거수뇨관결석적CT치병결합결석대소,가이경합리적선택성SWL치료.
Objectives To improve the success rate of treatment of ureteral stones while reducing the trauma,more rational selectivity ESWL treatment by measuring the CT values and size of ureteral stones.Methods To retrospectively analyze 971 patients with ureteral calculi treated by ESWL in nearly three years,and to compare the ESWL success rate of different CT value within the group of the same stone size.Results The group of ＞ 900Hu showed the success rate significantly decreased with the increase of the volume of stones,73.2％ (41/56),38.5％ (15/39),17.6％ (3/17).The difference of success rate between CT value ＞ 900Hu and CT value ＜ 900Hu was statistically significant; The group of≤500Hu showed EWSL success rate over 90％,and EWSL success rate between different sizes showed no significant difference.Conclusions ESWL can be more reasonably selective treatment,according to the CT values of ureteral calculi combined with stone size.