我們醫院上泌尿道結石治療方式的改變
李高漢、王致丞、蘇家震、劉建良、洪順興、廖建華、陳俊豪、黃冠華1、沈坤宏
奇美醫學中心 外科部 泌尿外科 ，1泌尿腫瘤科
Change of treatment in upper urinary tract stones in our hospital
Kau Han Lee, Jhih-Cheng Wang, Chia-Cheng Su, Chien-Liang Liu, Shun-Hsing Hung, Alex Liao,
Chun-Hao Chen, Steven Kuan-Hua Huang1, Kun-Hung Shen
Division of Urology, Department of Surgery, 1Division of Uro-Oncology
Chi-Mei Medical Center, Tainan, Taiwan
Purpose: to evaluate the change of treatment strategy regarding upper urinary tract stones in our hospital in last 5 years
Materials & Methods: We collected data from our hospital database on patients receiving extracorporeal shock wave lithotripsy, endoscopic surgery and open surgery. We analyzed how the incidence of these treatments changed over last 5 years
Results: From January 2009 till December 2013, 10865 patients with upper urinary tract stones received invasive treatment. The amount of patients receiving ESWL decreased annually while the numbers of endoscopic surgery increased gradually. We can see in recent years there has been a clear increase in the endoscopic surgery with decreasing number in ESWL.
Conclusion: In recent years, there has been a clear reduction in the number of ESWL & increase in the number of endoscopic surgery in our hospital. The reason of such trends may be due to the change of healthcare policy & advanced instruments. The retreatment of endoscopic surgery was lower than ESWL group which could decrease the overall treatment cost.