녹각석의 체외충격파 쇄석술시 Double-J stent의 유용성
The Effect of Double-J Stent in Extracorporeal Shock Wave Lithotripsy Monotherapy of Staghorn Calculi
정일화, 장대수,
소속 상세정보
정일화 ( )
건국대학교 의과대학 소아과학교실
장대수 ( )
조선대학교
KMID : 0358319920330061050
Abstract
From June 1989 to October 1991, 52 patients with renal staghorn calculi (34 with incomplete staghorn renal calculi and 18 with complete staghorn calculi) underwent extracorporeal shock wave lithotripsy monotherapy by Northgate SD-3 lithotriptor.
Of
52
patients, 27 were treated without preoperative double-J stenting, while 25 underwent double-J stenting before extracorporeal shock wave lithotripsy. The mean shock waves per patients were gradually increased in proportion to stone burdens rather
than
the insertion of double-J stent. The average duration of hospitalization was shorter for the group who received prophylactic double-J stenting. The incidence of postoperative complications such as ureteral obstruction, colic, fever decreased in
double-J
stenting group, but was not statistically significant (p>0.05). 62% (32 cases) of the patients were free of stones after 6 months but double-J stenting did not influence the rate free of stones.
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