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학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
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연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2020.1
- 수록면
- 59 - 66 (8page)
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Purpose: We evaluated the comparative effect of miniaturized percutaneous nephrolithotomy (mini-PCNL) and retrograde intrarenal surgery (RIRS) on perioperative kidney function by use of diethylenetriamine penta-acetic acid (99mTc-DTPA) scintigraphy and identified significant predictors associated with deterioration or amelioration of renal function after surgery. Materials and Methods: All 70 patients who underwent mini-PCNL or RIRS between 2012 and 2016 were monitored by 99mTc-DTPA scintigraphy preoperatively. Patients with abnormal renal function were monitored from 3 to 12 months postoperatively. Logistic regression analyses were conducted to estimate the predictors of aggravated renal dysfunction and improvement. Results: The difference in preoperative renal function between the contralateral and the operative side was >10% in 57 patients (81.4%). Among those in the group with abnormal renal function, 40 (70.2%), 10 (17.5%), and 7 (12.3%) patients showed stability, deterioration, and improvement in renal function at postoperative year 1, respectively. Functional changes did not differ according to the type of surgery. A high level of serum creatinine preoperatively (p=0.060) and a history of previous stone procedures (p=0.051) showed borderline significance for prediction of deterioration in renal function. Conclusions: RIRS and mini-PCNL had similar effects and favorable outcomes on renal function during a 1-year follow-up period. High baseline serum creatinine levels and a history of procedures warrant careful attention.
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참고문헌 (23)
참고문헌 신청
Marchini GS / 2012 / Silent ureteral stones : impact on kidney function--can treatment of silent ureteral stones preserve kidney function? / Urology 79:304~308
Alexander RT / 2012 / Alberta Kidney Disease Network. Kidney stones and kidney function loss: a cohort study / BMJ 345:e5287
Assimos D / 2016 / Surgical management of stones : American Urological Association/Endourological Society Guideline, part I / J Urol 196:1153~1160
Gupta M / 1994 / Improved renal function following aggressive treatment of urolithiasis and concurrent mild to moderate renal insufficiency / J Urol 152:1086~1090
Gambaro G / 2001 / Risk for renal failure in nephrolithiasis / Am J Kidney Dis 37:233~243
Alexander RT / 2012 / Alberta Kidney Disease Network. Kidney stones and kidney function loss: a cohort study / BMJ 345:e5287
Assimos D / 2016 / Surgical management of stones : American Urological Association/Endourological Society Guideline, part I / J Urol 196:1153~1160
Gupta M / 1994 / Improved renal function following aggressive treatment of urolithiasis and concurrent mild to moderate renal insufficiency / J Urol 152:1086~1090
Gambaro G / 2001 / Risk for renal failure in nephrolithiasis / Am J Kidney Dis 37:233~243
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