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KMID : 0374019960190030505
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Ewha Medical Journal
1996 Volume.19 No. 3 p.505 ~ p.512
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A Study for the Change of Occurrent Trend and Treatment in 3,069 Patients with
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Abstract
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Objectives:
@EN Urolithiasis is the most common and important disease in the field of Urology, and
recently the incidence of urolithiasis has increasing tendency according to the improvement of
living condition in Korea. In the management of urolithiasis, open surgery was done mainly
until several years ago. But now with the development of extracorporeal shock wave
lithotriptor (ESWL), endourology and other new instruments, the urolithiasis is easily treated,
not surgically.
@ES Methods:
@EN The author analyzed patients with urolithiasis who had been admitted to Ewha Womans
University Hospital from April 1976 to December 1995 to know the change of occurrent trend
and treatment for urolithiasis for the past 20 years.
@ES Results :
@EN The following results were obtained:
@EN 1) During the periods, 3,069 cases were urolithiasis(31.1%) of the 9,868 total admitted
patients in urology. The total number and rate of incidence were increased constantly
especially until late eighties, but since the year of 1991 those were slightly decreased.
2) The sex ratio of male to female was not changed significantly. The occurrent rate under
age of 20 years old was decreased but increased after 6th decades. The seasonal occurrence
was the highest in summer untill 1985, but after then there was no seasonal difference.
3) The incidence of ureter, bladder and urethral calculi was was decreased but that of renal
calculi was increased.
4) In the management, the open surgery and expectant therapy were decreased after October
1986, but the rate of nephrectomy was slightly imcreased. In endourological management, the
success rate of ESWL, PNL and URS was 92.8%, 86.6% and 96.7% respectively.
@ES Conclusions
@EN For the past 20 years, the trend of urolithiasis was changed and modalities of treatment
were changed, especially since the late of 1980s.
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KEYWORD
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