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논문 기본 정보

자료유형
학술저널
저자정보
윤은주 (한국보훈병원 진단방사선과)
저널정보
대한영상의학회 대한방사선의학회지 대한방사선의학회지 제32권 제1호
발행연도
1995.1
수록면
165 - 168 (4page)

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Purpose : To compare the incidence between author's first and current report on urinary tract stone in patientwith spinal cord injury and to evaluate the effectiveness of recent developed in medical technology and care on intreating the patients. Materials and Methods : We reviewed urinary tract stone in 257 patients with paraplegia orquadriplegia after spinal cord injury. These patients were diagnosed retrospectively by KUB and intravenousurography at the Korea Veterans Hospital during 10years from January, 1984 to December, 1993. We evaluated andcompared the overall incidence, incidence of specific location of urinary tract, recurrent rate, incidenceaccording to the level of spinal cord injury, and the duration of development in urinary tract stone. Results :Total patients were 257 with 186(72.4%) paraplegia and 71(27.6%) quadriplegia. Overall incidence of the stone was16.0% in this study and 38.1% in the first study. Incidence of the stone in individual organ;5.5% in kidney, 1.2%in ureter, and 13.6% jin urinary bladder. The recurrent rate was 29.3% in this study and 40.6% in the first study.Incidence of the stone according to the level of spinal cord injury was as follows;15.6% in cervix, 17.1% in upperthorax, 17.9% in lower thorax and 13.9% in lumbar. The stone developed during the first 4 years and between 12 to16 years following spinal cord injury was 28.3% each. Conclusion : Overall incidence and recurrent rate of urinarytract stone was obviously decreaed since the first study. Highest incidence of the stone occurred in urinarybladder and in patient with lower thoracic spinal cord injury, which is similar to first report. Peak incidence ofthe stone was in the first 4years, and another peak was in 12-16years after spinal cord injury. The decreasedoverall incidence of urinary tract stone maybe attributable to the development in medical technology and care, andactive rehabilitation.

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