頁籤選單縮合
題名 | 體外電震波碎石術治療上尿路結石之經驗 |
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作者 | 李瀛輝; | 書刊名 | 中華民國外科醫學會雜誌 |
卷期 | 21:2 1988.03[民77.03] |
頁次 | 頁138-145 |
分類號 | 416.274 |
關鍵詞 | 體外電震波碎石術; 治療; 上尿路結石; |
語文 | 中文(Chinese) |
中文摘要 | 1980年2月,西德醫師Chaussy首先進用體外電震波碎石術治療腎結石及上三分之一輸尿管結石之病人,由于治療效果驚人,副作用少而安全性高,使得以後數年,體外電震波碎石術在世界各地被廣泛使用。由民國74年8月至75年7月一年間,本科共有882例上尿路結石病人,接受1047次體外電震波碎石術治療,依據至少追踪檢查3個月之統計結果,治療後結石完全消失者佔57.98%,治療後有殘餘結石但無臨床症狀不需要再治療者佔33.29%,治療後有殘餘結石需要再治療者佔8.73%,簡言之,約91%尿路結石病人經過治療後可獲滿意之治療效果。治療後之併發症包括血尿、發燒、腎絞痛、輸尿管堵塞、尿路感染、敗血症、急性尿瀦留、咳血等,由於處理得宜,所有病人均無嚴重之後果產生。 |
英文摘要 | Experience with extracorporeal shock wave lithotripsy for treatment of upper urinary tract stones is presented. From August 1985 to July 1986, 882 patients with 973 kidney stones and 74 upper third ureteral stones were treated at this institution. Results after at least three months indicated that 57.98 per cent of the patients were completely free of stones, and 33.29 per cent of the patients had minute residual fragments not requiring further management. Only 8.73 per cent of the patients required second treatment. Overall, 91 per cent of the patients had satisfactory results. Side-effects consisted of hematuria, fever, colic pain, uretera1 obstruction, urinary tract infection, sepsis, acute urinary retention and hemoptysis. There were no severe sequelae because of adequate management of side effects. |
本系統之摘要資訊系依該期刊論文摘要之資訊為主。