上部尿路結石症に対するESWLの経験

概要

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1) 121例の上部尿路結石症に対しESWLを施行し,1ヵ月で56%,3ヵ月で78%にKUB上結石陰影を認めなくなった.自排可能の大きさとなった19例を含めると95%の症例において良好な成績が得られた.2)血尿,疝痛などの併発症状を認めたが,これらは数日で消失する軽微なものであり,また血清LDH, GPK, GOT, ALD, T-Bilの上昇を認めたが臨床上特に処置を必要としなかった.3) ESWLは早期社会復帰が可能であり適応となる症例には優れた治療法であるThe first 121 cases of upper urinary tract stone treated by extracorporeal shock wave lithotripsy (ESWL) at our clinic were analyzed. Three months after ESWL, 78% of the patients became stone free, and 17% of the patients had residual stone fragments which were less than 5 mm in diameter and considered passable. The success rate was therefore about 94.6%. No severe side effects were observed, although temporary elevations in serum creatinine phosphokinase, lactate dehydrogenase, glutamic-oxaloacetic transaminase, aldolase and total bilirubin occurred. These results indicated that ESWL was a safe and effective procedure for upper urinary tract stones.