신녹각석에 대한임상적 고찰
A Clinical Observation on Staghorn Calculi of the Kidney
소속 상세정보
김재성/Kim JS
이지복/Lee JB
KMID : 0358319830240040623
Abstract
There were 20 patients (22 kidneys) with staghorn calculi evaluated clinically (Clinical presentation, Complications, Management) and kidneys were studied on pathologic basis.
Only 15 percent of the patients could be defined as having a silent stone calculus.
Clinical complication occurred in 50 percent of the patients.
On 7 kidneys submitted for a pathoanatomic study (nephrectomy) hydropy0nephrosis was found in 28.6 percent, end stage pyelonephritic kidney in 28.6 percent, end stage hydronephOsis 14.2 percent, severe pyelonephritis 28.6 percent.
The kidney was considered to be relatively undamaged in 22.7 percent, of the cases.
Complete removal of the calculus and appropriate medical adjunctive therapy should be done early in the course of the disease in an attempt to prevent complications and renal deterioration.
The results of treatment are discussed and compared to those obtained in a group of patients who initially were managed conservatively.
키워드
결석; 신장; 녹각석; staghorn calculi; kidney
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