Lower Caliceal Stone Clearance after Shock Wave Lithotripsy: Impact of Lower Pole Radiographic Anatomy / 대한비뇨기과학회지
Korean Journal of Urology
; : 1257-1260, 1999.
Article
en Ko
| WPRIM
| ID: wpr-17632
Biblioteca responsable:
WPRO
ABSTRACT
PURPOSE: We analyzed our experience to determine the influence of infundibulo-pelvoureteral angle, lower calyceal width and length in predicting the clearance of fragments after extracorporal shock wave lithotripsy(ESWL) for lower calyceal stone. MATERIALS AND METHODS: From October 1995 to April 1998, a retrospective analysis of 51 patients with a solitary radiopaque lower pole calyceal stone who underwent excretory urography(IVP) preoperatively were treated ESWL with a Storz Modulith SLX third generation. RESULTS: The overall stone-free rate was 54.9%. Stone-free status after ESWL was significantly related to each anatomical measurement. Of the stone-free and not stone-free groups, with the infundibulo-pelvoureteral angle 40 degree or greater 21 patients were found in stone-free groups(75%) and 5 patients in not stone-free groups(21.7%), with the infundibular width >5mm 22 patients were found in stone-free groups(78.6%) and 11 patients in not stone-free groups(47.8%) and with the infundibular length < or =30mm 16 patients were found in stone-free groups(57.1%) and 5 patients in not stone-free groups(21.7%), respectively. CONCLUSIONS: We recommend that the 3 major radiographic features of the lower pole calix should be assessed during intravenous urography to facilitate the planning of treatment for lower calyceal stones.
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Texto completo:
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Índice:
WPRIM
Asunto principal:
Choque
/
Litotricia
/
Urografía
/
Estudios Retrospectivos
Tipo de estudio:
Observational_studies
Límite:
Humans
Idioma:
Ko
Revista:
Korean Journal of Urology
Año:
1999
Tipo del documento:
Article