경피적 신루를 통한 알칼리액 관류로 치료한 요산결석
Dissolution of Uric Acid Caculi with Alkali Fluid Irrigation Throuth Percutaneous Nephrostomy Tube
이형식, 손경애, 허수영,
소속 상세정보
이형식 ( Lee Hyeung-Sik )
경상대학교
손경애 ( )
경상대학교
허수영 ( )
경상대학교
KMID : 0358319930340020341
Abstract
We treated 4 patients with uric acid calculi in the renal pelvis or ureter with alkaline fluid irrigation through percutaneous nephrostomy (PCN) tube. Initial presentations were anuria or severe flank discomfort, we performed PCN to relieve such
obstructive symptoms caused by uric acid calculi. We tried to dissolve uric acid calculi with normal saline mixed to sodium bicarbonate through a PCN tube. The success of therapy is believed to be related to the direct and constant urinary
alkalinization effect obtained with irrigation compared to be the intermittent alkalization that occurs when oral agent are used.
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