[1]廖明壮,龙腾河,范永毅.CT值与上尿路结石气压弹道碎石易碎生关系初探[J].国际放射医学核医学杂志,2010,34(4):247-249.[doi:10.3760/cma.j.issn.1673-4114.2010.04.015]
　LIAO Ming-zhuang,LONG Teng-he,FAN Yong-yi.The relationship of CT value and the upper urinary tract stones pneumatic lithotripsy[J].International Journal of Radiation Medicine and Nuclear Medicine,2010,34(4):247-249.[doi:10.3760/cma.j.issn.1673-4114.2010.04.015]
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《国际放射医学核医学杂志》[ISSN:1673-4114/CN:12-1381/R]

卷:
34
期数:
2010年第4期
页码:
247-249
栏目:
临床放射医学
出版日期:
1900-01-01

文章信息/Info

Title:
The relationship of CT value and the upper urinary tract stones pneumatic lithotripsy
作者:
廖明壮1;  龙腾河1;  范永毅2
1. 545005, 柳州, 广西医科大学第四附属医院放射科;
2. 545005, 柳州, 广西医科大学第四附属医院泌尿外科
Author(s):
LIAO Ming-zhuang1;  LONG Teng-he1;  FAN Yong-yi2
Department of Radiology, The Fourth Affiliated Hospital of Guangxi Medical University, Guangxi Liuzhou 545005, China
关键词:
尿路结石; 碎石术; 体层摄影术; X线计算机
Keywords:
Urinary calculi; Lithotripsy; Tomography; X-ray computed
DOI:
10.3760/cma.j.issn.1673-4114.2010.04.015
摘要:
目的 探讨非增强螺旋CT值与上尿路结石气压弹道碎石(PL)易碎性的关系,为临床上选择合理的治疗方法提供更多依据。方法 93例行PL治疗的上尿路结石患者,按结石PL次数分成A、B、C 3组。将3组的平均CT值分别进行比较分析。结果 A、B、C 3组间的平均CT值差异均有统计学意义(F=3.271,P=0.000)。结论 术前患者上尿路结石的平均CT值可以估计碎石的难易程度。在选择治疗方案和时机时要综合分析结石部位、数量、医师操作水平、设备性能、患者耐受性等因素。在结石易碎性因素上,建议对于CT值<900 HU且结石大小适宜(最大直径<2 cm)者首选PL治疗,而CT值>1200HU且体积较大(最大直径>2.5 cm)或超过4枚的多发结石者应选择手术取石。
Abstract:
Objective To investigate the value of non-enhanced spiral CT for upper urinary tract calculi pneumatic lithotripsy (PL) and provide more scientific basis for clinical treatments. Methods Ninetythree PL treatment of patients with upper urinary tract stones were divided into A, B, C three groups according to the PL times. The average CT values were comparatively analyzed. Results The average CT values have a statistically significant difference (F=43.271, P=0.000). Conclusions Patients with upper urinary tract stones before the average CT value can be used to estimate the difficulty of lithotripsy. In the choice of treatment times and programs, it should be comprehensive analysis of stone location, quantity, level of operator, equipment performance, patient tolerance and other factors. For the fragile factor of stone, it recommend that when CT value<900 HU and size of stones suitable (maximum diameter<2 cm), when the preferred PL, when the CT value>1200 HU and larger(maximum diameter>2.5 cm) or more than four multiple stones surgery should be selected.

参考文献/References:

[1] 郑凯,徐廷昭,谭建明,等.钬激光治疗泌尿系结石36例.实用医学杂志,2007,23(14):2227-2228.
[2] 侯北平.自拟排石方治疗泌尿系结石340例.实用医学杂志,2007,23(13):2095-2096.
[3] Yoshida S,Hayashi T,Ikeda J,et al.Role of volume and attemuation value histogram of urinary stone on noncontrast helical computed tomography as predictor of fragility by extracorporeal shock wave lithotripsy.Urology,2006,68(1):33-37.
[4] 王进峰,吴志坚,刘鑫国,等.CT预测泌尿系结石行气压弹道碎石易碎性的研究.实用医学杂志,2008,24(6):926-928.
[5] Williams JC Jr,Kim SC,Zmrse CA,et al.Progrss in the use of helical CT for imaging urinary calculi.J Endourol,2004,18(10):937-941.
[6] 孙西钊,孙则禹,叶章群.结石理化因素对冲击波碎石的影响及对策.临床泌尿外科杂志,2000,15(11):485-487.
[7] 韩见知,庄乾元.实用腔内泌尿外科学.广州:广东科技出版社,2001:143-146.

相似文献/References:

[1]袁建伟,贺小红,袁白虹,等.346例上尿路结石患者99Tcm-DTPA肾动态显像结果分析[J].国际放射医学核医学杂志,2010,34(3):171.
　YUAN Jian-wei,HE Xiao-hong,YUAN Bai-hong,et al.Analyses of 99Tcm-DTPA dynamic kidney imaging on 346 patients of upper urinary tract calculi[J].International Journal of Radiation Medicine and Nuclear Medicine,2010,34(4):171.
[2]冯强,马智军.泌尿系结石成分分析的CT研究进展[J].国际放射医学核医学杂志,2009,33(2):123.[doi:10.3760/cma.j.issn.1673-4114.2009.02.018]
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备注/Memo

备注/Memo:
收稿日期:2010-01-28。
基金项目:广西柳州市科学研究与技术开发计划(2008031417)
通讯作者:龙腾河,E-mail:longtenhe1965@yahoo.com.cn
更新日期/Last Update: 1900-01-01