체외충격파쇄석술의 치료효과에 대한 예측인자로서의 요석의 Hounsfield Units
Hounsfield Units of Urinary Calculi as a Predictor of the Therapeutic Effect of Extracorporeal Shockwave Lithotrips
채현수, 이성호,
소속 상세정보
채현수 ( Chae Hyun-Soo )
한림대학교 의과대학 비뇨기과학교실
이성호 ( Lee Seong-Ho )
한림대학교 의과대학 비뇨기과학교실
KMID : 0358320060470010070
Abstract
Purpose: Non-enhanced spiral computed tomography(NESCT) has become the preferred method for imaging urinary calculi. We evaluated the Hounsfield units(HU) of urinary calculi on NESCT as a predictor of the therapeutic effect of extracorporeal shockwave lithotripsy(ESWL).
Materials and Methods: We evaluated 72 patients with urinary calculi who underwent ESWL. The HUs of calculi were measured on the pretreatment NESCT and at post-treatment via radiographic assessment. The patients were divided into 2 groups, the response group(n=39): the patients with remnant calculi less than 3mm or they were without remnant calculi, and the non-response group(n=33): the patients with remnant calculi greater than 3mm. The HUs of the response and non-response groups were then compared.
Results: The HUs of the response and non-response groups were 529.7。168.2 and 814。116.6, respectively, and the HUs of the non-response group was significantly higher than that of the non-response group.
Conclusions: The HU of urinary calculi, as seen on NESCT, can help to predict the therapeutic effect of ESWL and also select the most effective treatment modalities for the patients suffering with urinary calculi. (Korean J Urol 2006;47:70-74)
키워드
Urinary calculi;Tomography;Lithotripsy
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