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Comparison of Non-contrast-Enhanced Computed Tomography and Intravenous Pyelogram for Detection of Patients With Urinary Calculi

대한비뇨기과학회지 2014년 55권 2호 p.120 ~ 123
 ( Lim Go-San ) - Bundang Jesaeng General Hospital Department of Urology

 ( Son Jeong-Hwan ) - Bundang Jeasaeng Hospital Department of Urology
 ( Lee Jae-Won ) - Bundang Jeasaeng Hospital Department of Urology
 ( Hwang Jae-Seung ) - Bundang Jesaeng General Hospital Department of Urology
 ( Lim Chae-Hong ) - Bundang Jesaeng General Hospital Department of Urology
 ( Kim Dae-Ji ) - Bundang Jesaeng Hospital Department of Urology
 ( Jang Seok-Heun ) - Bundang Jeasaeng Hospital Department of Urology
 ( Cho Dae-Sung ) - Bundang Jesaeng General Hospital Department of Urology

Abstract


Purpose: The aim of this study was to investigate the changing pattern in the use of intravenous pyelogram (IVP), conventional computed tomography (CT), and non-contrast-enhanced computed tomography (NECT) for evaluation of patients with acute flank pain.

Materials and Methods: We retrospectively reviewed the medical records of 2,180 patients with acute flank pain who had visited Bundang Jesaeng General Hospital between January 2008 and December 2012 and analyzed the use of IVP, conventional CT, and NECT for these patients.

Results: During the study period there was a significant increase in NECT use (p<0.001) and a significant decrease in IVP use (p<0.001). Conventional CT use was also increased significantly (p=0.001). During this time the proportion of patients with acute flank pain who were diagnosed with urinary calculi did not change significantly (p=0.971).

Conclusions: There was a great shift in the use of imaging study from IVP to NECT between 2008 and 2012 for patients with acute flank pain.

키워드

Flank pain; Non-contrast-enhanced computed tomography; Urinary calculi
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