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论文摘要

上尿路结石CT值预测结石成分和体外冲击波碎石术治疗的可行性

The Feasibility of CT Attenuation Value to Predict the Composition of Upper Urinary Calculi and Success Rate of

作者:范钰, 刘振华, 魏强等

Author:FAN Yu, LIU Zhen-hua, WEI Qiang. et al

收稿日期:          年卷(期)页码:2017,48(5):788-791

期刊名称:四川大学学报(医学版)

Journal Name:JOURNAL OF SICHUAN UNIVERSITY (MEDICAL SCIENCE EDITION)

关键字:CT 尿路结石 结石成分 体外冲击波碎石术

Key words:CT Urinary calculi Composition Shock wave lithotripsy

基金项目:

中文摘要

目的 探讨上尿路结石平均CT值对结石成分和体外冲击波碎石术(ESWL)的冲击数和成功率的预测价值。方法 采集146例采用ESWL治疗上尿路结石的患者资料。患者在ESWL前完成CT检查,结石最大径线在2 cm以内,后采用红外光谱法对排出结石进行成分分析。ESWL治疗后随访1个月判断疗效。用相关性分析明确影响ESWL的冲击数和成功率的因素。结果 各种成分的结石CT均值各异,但相近值之间互有重叠,差异无统计学意义( P>0.05);含钙结石与不含钙结石相比较,其CT值较高( P P P

英文摘要

【Abstract】 Objective To explore the feasibility of CT attenuation value (CTvalue) to predict the composition of upper urinary calculi and the number of shock waves (NSW) and success rate (SR) of extracorporeal shock wave lithotripsy (ESWL). Methods A total of 146 patients with upper urinary calculi treated by ESWL were included. CT scan was performed before ESWL. Upper urinary calculi with the maximum diameters of less than or equal to 2 cm were included. Infrared spectroscopy was used to analyze the composition of calculi. The effect of ESWL was estimated at 1 month followup. The factors that influence NSW and SR of ESWL were analyzed by correlation analysis. Results The CTvalue of calcium calculi were larger than that of noncalcium calculi ( P P P

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