比较输尿管镜钬激光碎石术与输尿管切开取石术的疗效-四川大学学报.doc

上尿路结石CT值的可行性 范钰1, 刘振华1, 魏强△1, 汤壮1, 柳良仁1, 任碧华, 李响1，鲍一歌1，杨璐1 1 四川大学华西医院 泌尿外科/泌尿外科研究所 （成都 610041） 2 绵阳市中心医院 泌尿外科（绵阳 621000） 本文受国家自然科学基金（No NoNo，四川省科技厅科技计划项目（No.2013SZ0006，No.2015SZ0230）资助 △：通讯作者，E-mail: weiqiang933@126.com [摘要]目的 。方法 明确影响ESWL的冲击数和成功率的因素。结果 。、结石长径均与ESWL冲击数呈中高度正相关（P0.05），且其相关性按结石部位进行亚组分析（肾、输尿管）后仍存在；结石CT值、结石长径均与ESWL成功率呈低度负相关（P0.05）。但亚组分析发现输尿管结石的CT值与ESWL成功率不存在相关性。结论 [关键词] 尿路结石; 结石成分; The feasibility of CT attenuation value for predicting composition of upper urinary calculi and treatment of extracorporeal shock wave lithotripsy Fan Yu1 2, Liu Zhen-hua1, Wei Qiang1, Tang Zhuang1, Liu Liang-ren1, Ren Bi-hua2, Li Xiang1, Bao Yi-ge1, Yang Lu1 1 Department of Urology, Institute of Urology, West China Hospital of Sichuan University (Chengdu, 610041) 2 Department of Urology, Mian yang central Hospital (Mianyang, 621000) [Abstract] Objective To explore the feasibility of mean CT attenuation value (CT-value) in predicting composition of upper urinary calculi, 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 scans were performed before ESWL; Upper urinary calculi with the maximum diameters of less than or equal to 2cm were included in the study. Infrared spectroscopy was used to analyze the composition of calculi. The effect of ESWL was estimated at 1 month follow-up. Factors that influence NSW and SR of ESWL were analyzed by correlation analysis. Results The CT-values of calculi were various, but the close ones were overlapping (P0.05). the CT-value of calcium calculi were larger than that of non-calcium calculi (P0.001). The differences of NSW, SR of ESWL and CT-values of calculi between patients with different ages, skin-to-stone distances and genders were not statistically significant. The partial correlation analysis found CT-value and long diameter of calculi were positively correlat