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- The Experience of Second Generation Lithotriptor for Treatment of Upper Urinary Tract Calculi in Children
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- The Use of Endotracheal General Anesthesia with One-minute Pauses in Ventilation to Increase the Effectiveness of Extracorporeal Shock Wave Lithotripsy
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題 名 | The Experience of Second Generation Lithotriptor for Treatment of Upper Urinary Tract Calculi in Children=二代體外震波碎石機在兒童上泌尿道結石之使用經驗 |
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作 者 | 陳煜; 朱聖賢; 陳孝文; 陳志碩; 莊正鏗; 周建中; 江仰仁; | 書刊名 | 中華民國泌尿科醫學會雜誌 |
卷 期 | 9:4 1998.12[民87.12] |
頁 次 | 頁191-195 |
分類號 | 417.6255 |
關鍵詞 | 二代體外震波碎石機; 體外震波碎石術; 泌尿道結石; 兒童; Second generation lithotriptor; Shock wave lithotripsy; Urinary calculi; Children; |
語 文 | 英文(English) |
中文摘要 | 從 1995 年 6 月至 1997 年 2 月,共有 10 位 5 到 18 歲,患有腎及輸尿管結 石之兒童在長庚紀念醫院接受體外震波碎石治療。每位病人以平均 15.1KV 之能量接受平均 3160 次震波衝擊,10 顆結石共接受 10 次體外震波碎石術。除一位病人接受插管全身麻醉 外,其餘病人僅需以 meperidine hydrochloride 的靜脈方式予以鎮靜即可。除一位病人需 住院外,其餘均以門診方式接受治療。 經體外震波碎石治療後,結石破裂率可達 100%,且 結石消除率於六個月可達 90%。我們並發現結石消除率會隨結石的體積增加而下降。在治療 中只有一個病人因阻塞併發發燒,腰痛等輕微的早期併發症。因此,我們認為二代體外震波 碎石機可安全併有效地使用於患上泌尿道結石的兒童。 |
英文摘要 | Between June 1995 and Feb. 1997, a total of 10 children 5 to 18 yrs old with renal and ureteral calculi underwent lithotripsy at the Chang Gung Memorial Hospital. Each patient received an average of 3160 shocks with generator energy set at 15.1 kV. General anesthesia was required for lithotripsy in only 1 child, while others received intravenous sedation with meperidine hydrochloride. Majorities of pediatric lithotripsy treatments were performed on an outpatient basis, while that of 1 patient was done on an inpatient basis. Stone fragmentation was achieved in all patients (100%), and the overall stone-free rate at 6 mo was 90%. There was a continuous decrease in the stone-free rate with increasing stone size. Early minor complications, such as fever, pain, and obstruction were observed in 1 patient during treatment. We conclude that the second generation lithotriptor can be used safely and efficiently to treat upper urinary tract calculi in children. |
本系統中英文摘要資訊取自各篇刊載內容。