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頁籤選單縮合
題 名 | 探討超音波影像結石定位體外震波碎石的療效=Exploration of the Curative Effect of Ultrasound-based Real-time Lithotripsy |
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作 者 | 陳志榮; 鐘威昇; 李麗花; | 書刊名 | 臺灣公共衛生雜誌 |
卷 期 | 28:2 2009.04[民98.04] |
頁 次 | 頁124-131 |
分類號 | 416.274 |
關鍵詞 | 尿路結石; 超音波碎石術; 結石碎裂率; 結石廓清率; 有效商; Urinary calculi; Ultrasound lithotripsy; Stone fragmentation rate; Stone free rate; Efficiency quotient; |
語 文 | 中文(Chinese) |
中文摘要 | 目標:探討體外震波碎石治療泌尿系統結石的療效和安全性。方法:2004-2007年於花東某區域醫院門診接受體外震波碎石術的病人為研究對象,總共1542位完成治療前和治療後一週、兩週、四週、三個月的相關資料收集,內容包含測量血壓、腹部X光攝影和腎臟超音波、小便分析及併發症的監測等。結果:腎結石者佔86.3%、輸尿管結石佔13.7%,治療平均花費22.7分鐘,過程未使用任何麻醉藥或止痛劑。震波治療後結石碎裂率為93.6%、廓清率78%,再次接受體外震波碎石者佔9.21%,接受輔助治療者佔2.39%,且與結石位置及大小有統計上明顯的差異(p≦.05),治療有效商0.67。治療後和兩週後血壓有明顯下降;術後四週的尿液分析,血尿者完全改善且無感染發生,亦未發生皮下瘀青或腎臟血腫等傳統合併症,完成三個月之追蹤為86.7%。結論:本研究顯示體外震波碎石術有不錯的療效及很少的併發症,可能是自動雙定位結石追蹤系統提高碎石機對結石命中的機率,而將腎臟組織傷害降至最低,進而減少併發症的發生。 |
英文摘要 | Objectives: To explore the curative effect and safety of extracorporeal shock wave lithotripsy (ESWL) in the treatment of urinary calculi. Methods: From 2004-2007, 1542 patients received ESWL in a clinic of an Eastern Taiwan regional hospital. Blood pressure determination, abdominal x-ray, renal ultrasound, urinalysis, and assessment of complications were conducted prior to treatment and 1-, 2-, and 4-weeks, and 3-months post-treatment. Results: Urinary calculi were predominantly renal calculi (86.3%), with the remainder (13.7%) being ureteral calculi. Treatment averaged 22.7 minutes and never involved any anesthetic or analgesic. The fragmentation rate was 93.6% and stone free rate was 78%. ESWL re-treatment and auxillary treatment was necessary in 9.21% and 2.39% of cases, respectively. A statistically significant difference (p≤0.05) was evident in the position and size of calculi. The efficiency quotient was 0.67. Blood pressure was significantly lower 2-weeks after treatment. Postoperative urinalysis 4-weeks post-treatment revealed total resolution of hematuria. Infection did not recur. Traditional complications such as subcutaneous bruises or renal hematuria never occurred. The 3-month tracking rate was 86.7%. Conclusions: ESWL is curative with fewer complications. These attributes reflect the enhanced targeting of calculi and lessened renal tissue damage. |
本系統中英文摘要資訊取自各篇刊載內容。