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- 저자 : 羅容吉 (검색결과 2 건)
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薛鍾求,羅容吉 충남대학교 의과대학 지역사회의학연구소 1989 충남의대잡지 Vol.16 No.2
Urologic operations using bowel segments are urinary diversion, augmentation cystoplasty and ureteral replacement. Among these, urinay diversion and augmentation cystoplasty are most commonly used. But, among the complications, reflux, upper tract infection and metabolic disorders are troublesome for the urologists. So, in order to reduce these problems, intussuscepted bowel surgery is developed and modified. So, we reviewed 25 cases of bowel surgery using intussuscepted bowel segment in our urologic department. The results were as followings; 1. Operative procedures using intussuscepted bowel segments were 19 cases of urinary diversion (12 cases of Kock’s continent ileal reservior and 7 cases of ureteroileocecal sigmoidostomy) and 6 cases of augmentation cystoplasty(4 cases of Hemi-Kock’s ileocystoplasty and 2 cases of ureteroileocecal cystoplasty), and the most common disease was bladder cancer in urinary diversion and was tuberculosis in augmentation systoplasty. 2. The most common postoperative complication was would infection, and most of complications were developed in Kock’s continent ileal reservior, but there was no complication in augmentation cystoplasty. In Kock’s continent ileal reservior, stones and urine extravasations were the main complication, and in Hemi-Kock’s ilecystoplasty and ureteroileocecal cystoplasty, would infection was the main complication. 3. The postoperative BUN was increased significantly in the small bowel, but not in large bowel. And postoperative serum creatinine K^+ and Cl^- were slightly increased without significance. As a above result, intussuscepted bowel surgery in urology would be an effective method with relative low incidience of complications.
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Modulith SL-20 體外衝擊波碎石機를 利用한 尿路結石의 治療
薛鍾求,羅容吉 충남대학교 의과대학 지역사회의학연구소 1994 충남의대잡지 Vol.21 No.2
Extracoporeal shock wave lithotripsy monotherapy was performed in 111 patients with Modulith SL-20 electromagnetic lithotriptor from January, 1994, to November, 1994, in our Department of Urology. Most of stones were distributed between 4th and 6th decades(67.4%), and male to female ratio was 1.3 : 1, and 111 patients have 117 stones, which were 76 cases of ureteral stone(65.0%), 28 cases of renal(23.9%), 11 cases of ureteropelvic junction(9.4%) and 2 cases of bladder(1.7%), 6 bilateral cases, and 0.6cm to 5.0cm in diameter. Of the 0.6cm to 5.0cm in diameter, stones were 1.0cm-1.9cm 54 cases(46.2%), 0.6cm-0.9cm 43 cases(36.8%), 2.0cm-2.9cm 12 cases(10.2%) and 8 cases (6.8%) in longer than 3cm. And treatment session was needed more and more in longer than 1.0cm. Complications were colicky pain(16 cases, 13.7%), severe gross hematuria(9 cases, 7.7%), fever and chill(2 cases, 1.7%), renal subcapsular hematoma(2 cases, 1.7%), residual stone(2 cases, 1.7%o), and steinstrasse(1 case, 0.9%). Therefore extracoporeal shock wave lithotripsy monotherapy is considered as a safety and non-invasive treatment method for all urinary stones.
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