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Primary Choice in the Management of the Ureteral Stones : What is the Factors to a Successful Stone Removal in Primary Extracorporeal Shock Wave Lithotripsy?
http://hdl.handle.net/10470/27048
http://hdl.handle.net/10470/270485b7bab65-d862-4936-8e8e-f95fc488f5c0
名前 / ファイル | ライセンス | アクション |
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KJ00006017984.pdf (509.1 kB)
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Item type | 学術雑誌論文 / Journal Article(1) | |||||
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公開日 | 2010-08-10 | |||||
タイトル | ||||||
タイトル | Primary Choice in the Management of the Ureteral Stones : What is the Factors to a Successful Stone Removal in Primary Extracorporeal Shock Wave Lithotripsy? | |||||
言語 | ||||||
言語 | eng | |||||
資源タイプ | ||||||
資源タイプ識別子 | http://purl.org/coar/resource_type/c_6501 | |||||
資源タイプ | journal article | |||||
別タイトル | ||||||
その他のタイトル | 尿管結石に対する初期治療の選択 : 初回ESWLにおいて結石治療が成功する要因は何か? | |||||
著者名 |
NANRI, Masayuki
× NANRI, Masayuki× HASHIMOTO, Yasunobu× TOMA, Hiroshi |
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著者別名 | ||||||
姓名 | 南里, 正之 | |||||
著者別名 | ||||||
姓名 | 橋本, 恭伸 | |||||
著者別名 | ||||||
姓名 | 東間, 紘 | |||||
出版者 | ||||||
出版者 | 東京女子医科大学学会 | |||||
受付日付 | ||||||
日付 | 2010-08-10 | |||||
日付タイプ | Created | |||||
ISSN | ||||||
収録物識別子タイプ | ISSN | |||||
収録物識別子 | 0040-9022 | |||||
NCID | ||||||
収録物識別子タイプ | NCID | |||||
収録物識別子 | AN00161368 | |||||
書誌情報 |
東京女子医科大学雑誌 巻 76, 号 1, p. 10-15, 発行日 2006-01 |
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著者版フラグ | ||||||
出版タイプ | VoR | |||||
出版タイプResource | http://purl.org/coar/version/c_970fb48d4fbd8a85 | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | 今回,我々は尿管結石に対する体外衝撃波結石破砕術(ESWL)の適応を検討するために初回ESWLによる尿管結石完全破砕の要因は何かを評価した.1996年1月から2002年12月までに尿管結石に対する第一選択治療としてESWLを行った284名の患者の治療成績を解析した.これらの症例中,少なくともESWL治療後3ヵ月間の治療経過が観察可能であったのは265症例であり,初回ESWLで完全排石した症例をESWL成功群,それ以外をESWL失敗群と定義し,両群をロジスティック回帰分析で解析を行った.244例はESWL単独で治療されており,その75%の症例は単回治療で完全砕石された,多変量解析において,結石の短径が唯一のESWL不成功の独立因子であった.短径が6mm以上では20%以上の症例はESWL単回治療では完全砕石されず,短径が2mm増大するごとに結石砕石の不成功のオッズ比は1.71倍であった.今回の検討において,尿管結石において短径が6mm未満であることが初回ESWLでの完全破砕率に最も重要な因子であった. | |||||
抄録 | ||||||
内容記述タイプ | Abstract | |||||
内容記述 | The aim of the study is to determine the factors that influence a complete ureteral stone fragmentation with a single extracorporeal shock wave lithotripsy (ESWL) session. We analyzed the medical records of 284 patients with ureteral stones who were treated with ESWL as a primary therapy between January 1996 and December 2002. Among them, 265 patients were followed at least 3 months after the ESWL. Patients who had a complete stone-free status in the first session of the ESWL were defined as the successful group and the others were defined as the failure group. We compared the two groups using the multivariate logistic regression analysis. In 265 patients, 244 patients were treated with ESWL alone. Seventy-five percents of the patients were stone-free with a single session of the ESWL. The stone width was the only independent risk factor for ESWL failure. When a stone width was ≧ 6 mm, more than 20% of the stones would not be removed with a single ESWL. The odds ratio of stone width by 2 mm to the failure rate was 1.71. The stone width of < 6 mm was the most important factor influencing the success of a single ESWL session. | |||||
著者所属 | ||||||
Department of Urology, Saiseikai Kurihashi Hospital:Department of Urology, Kidney Center, Tokyo Women's Medical University | ||||||
著者所属 | ||||||
Department of Urology, Kidney Center, Tokyo Women's Medical University | ||||||
著者所属 | ||||||
Department of Urology, Kidney Center, Tokyo Women's Medical University | ||||||
著者所属 | ||||||
済生会栗橋病院泌尿器科:東京女子医科大学腎臓病総合医療センター泌尿器科 | ||||||
著者所属 | ||||||
東京女子医科大学腎臓病総合医療センター泌尿器科 | ||||||
著者所属 | ||||||
東京女子医科大学腎臓病総合医療センター泌尿器科 | ||||||
著者キーワード | ||||||
主題Scheme | Other | |||||
主題 | extracorporeal shock wave lithotripsy | |||||
著者キーワード | ||||||
主題Scheme | Other | |||||
主題 | ureteral stone | |||||
著者キーワード | ||||||
主題Scheme | Other | |||||
主題 | stone-free rate | |||||
著者キーワード | ||||||
主題Scheme | Other | |||||
主題 | multivariate logistic regression analysis |