576
1895582226014562116175
Ces36987936014570127174
Urol38977936014578115180208
2018;41307936014562121176230253
22(3):44097936014561121152210239261
188–19646957936014562116177239292345407
ORIGINÁLNÍ3862207016996181224324367468561635735777
PRÁCE4677207016983165262348424
operace624898013159119173204254303354
a1002898013150
počáteční1077898013160120169218251302351409430
denzitou.1532898013160112170215237271327384403
Po1960898013155111
přepočítání209589801316193144204263312334367417474496
vý‑2616898013149101134
sledků624104801314163116176221279
v9251048013150
jednotlivých999104801312275135193251283306327376428476534
velikostních15551048013150101124145191247287322380402450508
skupinách2087104801313984142201224281330379437
jsme2548104801312160149202
taktéž624119801313381125160210252
nezaznamenali8951198013158109152201244301348434486542589610630
souvislost1544119801314096152200222259280336375408
zkoumaného1970119801314488143199286333389440496553
vzta‑2541119801314994129177209
hu.6241348013160120139
Při789134801316596120
zaměření9341348013154107199254285339399421
na13811348013169119
velikost15251348013160114137160207266308344
konkrementu18941348013156115175223257311403458518551611
jsme2530134801313373165220
zaznamenali624149801314699145206257349405465516539562
výrazný12121498013159114148200247308356
vztah15931498013160109147199259
ve18781498013160114
smyslu20171498013151143191233257316
nepřímé23581498013170125187220244336392
úměrnosti.6241648013158147200232290349389423445464
Závěr:7741793013564122178235276303
Zhodnocením11021798013169128189251311371422475535558649
souboru17771798013150111170232293327387
pacientů21891798013171123173196250310343403
po26171798013171132
provedení624194801316397157208262326382443467
flexibilní1117194801314471127178202265289313374398
URS15411948013187145199
jsme1766194801314183175232
neprokázali20241948013177133196231290339393440494518542
vý‑25921948013168123158
znamný6242098013144103152241299345
vztah9932098013155101138188246
mezi12682098013190144188211
denzitou15082098013160113171215238271327385
konkrementu19172098013152109167213246298387440498529587
v25282098013155
HU26132098013169137
a6242248013150
efektem694224801315482134180217268357
operace.10712248013159119173204254303354371
Naopak14622248013171120178238288333
jsme1819224801312059148201
potvrdili20412248013160120152204237295317339360
korelaci24222248013146103135186209258306328
mezi6242398013190143188210
kumulativní8562398013147105194251273322354376425484506
velikostí13842398013149101124145191247287322344
nefrolitu17502398013159112140173230253274308365
a21372398013150
výsledky22092398013150102142164217277323374
en‑26052398013154112145
doskopie.6242548013160118158203260320343395412
KLÍČOVÁ6252834014770132164236320392464
SLOVA11162834014762123207279351
Flexibilní624299801315172125172195254277299356378
URS,10252998013169124175193
denzita12422998013159112170214237270320
konkrementu,15862998013146103161207240292381434492524581599
velikost22092998013150101124146191248288322
kon‑25552998013146103162195
krementu.624314801314780131220274331363421440
SUMMARY6253434014762143243345423493561
Štrajtová774359801315182114163186219275323373
I,1171359801312442
Dančík12373598013171120178226248295
P,1557359801315559
Kuldan16403598013155112134193242299
R.1964359801315577
Impact20653598013123112171221270306
of2396359801315886
stone2507359801314175131190243
density6243748013160114173213235269321
and9693748013159118178
size1172374801314971115168
on13643748013168127
the15163748013142101155
effect1696374801316291121174224261
of1982374801316796
flexible2103374801313562115164187247271324
ureter‑2452374801316799151185237269298
orenoscopy624389801315991142200258298347403463510
with11583898013180102136194
laser1376389801312372112165196
lithotripsy.159638980131234578136195227259281341381430444
Introduction:774404301352991128166227290351400440466527589613
Flexible1406404801315071123170192250273325
ureterorenoscopy1750404801315889139172222253309340391448505544592647707753
(URS)2527404801312591144195222
is624419801312360
an7024198013149105
endoscopic8254198013152108166222260307361419441487
method13304198013189140172228284342
which16904198013178135155202258
allows196641980131497090146222261
visualization2245419801314970108162209230250292341372393449505
of624434801315987
the735434801313795148
urinary909434801315990113170219250302
tract1235434801313768118167203
into1462434801312683115171
the1657434801313795148
kidney1829434801314973132190243290
in2143434801312684
a22514348013152
minimally23304348013190112169191279328351372420
invasive624449801312378124172210231278328
way.9714498013178126171183
It1177449801311950
also1246449801314970107164
allows142844980131497191147223262
us1709449801315795
to1827449801312983
remove1933449801312878164221268318
stones2269449801314174128185236275
with25624498013178100132188
using624464801315898119177236
laser884464801312270110163194
and11014648013150107167
extraction12904648013154101138170219268304326384443
baskets.17554648013161111150195247280322341
At2119464801316495
present,2237464801316092144184237295327346
the2607464801313290143
knowledge6244798013147106165243266319379438491
about11384798013150110169227260
the1422479801313391144
impact15914798013121110170220268304
of1918479801315987
stone2029479801314075131189242
density22944798013160113171210231265316
on26334798013158117
the624494801313493146
effect795494801316291121173223260
of1079494801316796
laser1200494801313180120174206
lithotripsy143049480131325487146205237270293353393443
is1897494801313171
insufficient.1992494801313290129186214242271320342395453485505
Most25294948013187146186221
previous624509801316193144193216274332371
work10215098013179137169215
deals12625098013160113161183222
with15105098013179102135193
a17275098013152
possible18055098013161120160200221281304357
prediction2188509801316092144204226274310333390449
of2663509801315887
shock624524801314198157206251
wave9005248013179129176228
lithotripsy115252480131234578136195227259281341381430
(ESWL)1606524801312979130220269297
success.1928524801314197146192243283323342
Purpose:7745393013560120158220281325381404
The11975398013150109160
aim1376539801314970157
of1551539801315885
this1659539801312986107144
work18225398013178134165210
is2055539801311856
to2134539801312984
evaluate22365398013153100149170225273304353
the2612539801312986137
possible6245548013161120160200221280304356
influence1004554801312886111138195248306354405
of1438554801315887
stone1549554801314580136194248
density18255548013160113171210232265316
in2165554801312885
Hounsfield22795548013169128186243283310337389412471
units6245698013158115137169211
(HU)858569801312592159187
on10655698013158116
CT12015698013162116
scans1337569801314089138195234
on15915698013158116
the1731569801312987139
result1894569801312979119175197230
of2143569801315987
flexible2249569801312753106153175234256309
URS25775698013169123173
with6245848013179101133190
laser838584801311967106158189
lithotripsy.105058480131204073130188219250272331370419432
Also,1501584801316486124181198
the1722584801313087139
influence1885584801311975100126183235292339389
of2294584801315886
cumula‑23995848013149105193249271319351
tive624599801313456105157
stone805599801314074130189242
size1071599801313960104156
of1249599801315987
specific1360599801314099153202224250277325
nephroliths17085998013158112171230261318341362395454493
is2225599801312160
evaluated.23085998013153102152174231280312363423442
Methods:7746143013591148187250311376421446
For12446148013158115147
the14156148013142100153
work,15996148013180137169215236
we18676148013179132
compiled20236148013156112202261284306359419
a24666148013157
total2547614801314298130180202
of624629801315886
1097306298013153100153
patients9036298013160109141163215272304345
which12686298013179137158206263
have15516298013158107154205
undergone17766298013158115174226257314372430482
the2282629801313088140
flexible2442629801312653105152174233256308
URS6246448013170125178
for827644801313796128
nephrolithiasis9806448013168122183243275333357379413472495544585607647
in1651644801313291
our17676448013167126159
department19506448013169123184235267305396451510542
since2517644801315072131181233
September6246598013151103161193243331390443474
200811176598013153104158211
to1351659801313085
January1459659801313482138194242273324
2016.18026598013153104151196215
In2040659801311976
these2140659801312986138178230
patients,23896598013161110141163214271302343361
CT6246748013163117
scans765674801314998148206245
had10346748013167116175
been12336748013169123177235
preoperatively14926748013168100152211271325357407439461510562585633
obtained21496748013166126159209231288341402
and25756748013157115175
also624689801315072111169
cumulative8176898013151109198255277326358380429481
stone1322689801314378134192245
size1591689801314365108160
and17756898013152110169
density19716898013159112170210231264315
in2311689801312582
HU24196898013170137
had25826898013159108168
been6247048013161115169226
measured.8807048013190143191231288319370431449
After1359704801316492130181212
the1595704801314098151
surgery,17707048013147103134192245276328341
the2135704801314098151
result2310704801313890130186208242
was25817048013180129169
recorded624719801313384134190223281334395
with10517198013180103136195
using12707198013167106128186245
peroperative15407198013169123155212272327358408441463513565
process,21297198013169101158208259300340359
ultra‑2512719801316789122154205238
sonography624734801314199158216276308357417476522
and11707348013150107167
X‑ray1361734801316088121171217
imaging.16027348013123112161220242299359377
Subjects20037348013151108168190243292328370
were23977348013179132163215
di‑2636734801315981114
vided624749801315073132185245
into893749801312987119175
310927498013160
groups1176749801316798154212272312
according15127498013157105152208240297319377436
to1972749801314197
surgery20937498013147104135193246277329
results.2446749801313991131188210243285304
In624764801312381
these729764801313088141181234
groups,983764801316091147205264304323
the1330764801313088141
correction14917648013149105137169220269305327385443
by19557648013160107
initial208676480131197798131153202224
stone2330764801314175131189242
size2593764801314162105157
was2976898013179129169
made.3171898013190139199252269
The3464898013153113166
endoscopy3657898013153111171229269317373434481
results416289801313586127183205238280
were4468898013180132163215
also470789801315275113172
con‑4903898013151107166199
nected29761048013159112162198249309
with33091048013179102135193
stone3527104801314175131190243
size.3794104801314162106157174
Results:31261193013563119165227255293339364
The35151198013154114167
results3706119801313586126183205238280
of4012119801315987
the4123119801313795148
flexible4297119801312754106154177236259312
URS46351198013169124175
varied48341198013152102133156208269
depending29761348013159110168221277335356412470
on34651348013157114
the3602134801312986137
size3758134801314061103153
groups.3930134801315989144200258297316
There42651348013150108160190240
was45241348013178126165
not47081348013158114146
a48731348013149
cor‑49401348013149103134162
relation2976149801313284107155187209267326
between33261498013161115148230282336393
the3744149801313492145
resultant3913149801313385125181203237286344376
surgery4313149801314198129187240271323
effect4661149801315382112164213249
and49351498013150108167
the2976164801313492145
initial3145164801312179100134156204226
density.33931648013160113171210232265316330
After3745164801316492130181212
recalculating3981164801313182132181204252309332380412434492551
the4556164801313290144
results4724164801313082122178200234275
in5023164801312179
the2976179801313490142
individual3142179801311875133154202225283338386408
size3569179801314061104154
groups3743179801315989145201260299
we40611798013179130
also4210179801314971109166
didn’t4395179801315980138195211244
record4662179801312879127182213270
any49511798013149106151
connection29761948013149105163221274324360382440498
in3498194801312684
the3606194801313795148
studied3778194801314478136195217270330
relationship.4132194801313687110158190212270329368425447507524
When46831948013190150203261
we49701948013180132
focus2976209801312986135193232
on32312098013159117
the3372209801313391145
stone3541209801314074130189242
size,3807209801314061105156173
we40032098013180132
have41582098013159108155207
noticed43882098013159117150172220271331
a47422098013150
signifi‑4816209801314062121179200226253286
cant2976224801314999157188
relationship3188224801313384107156188210268326365423445504
in3716224801312381
terms3821224801313485116206245
of4091224801315886
indirect4202224801312380140161193244294330
proportion.4556224801316193149209269301338360417476495
Conclusion:31262393013565125188237265327373400462525549
By37002398013161109
evaluating38342398013158107157179236285317339396456
the4314239801313997150
whole44942398013179138196219272
patient47952398013161111143165218276307
group2976254801316092149208268
after3269254801315987125177209
flexible3502254801313562116164187247271324
URS,38592548013169124176195
we40872548013180133
didn’t4244254801316991151210227261
demonstrate45292548013169122213272331371406438489521573
a29762698013150
significant3051269801314971130188210237263312362421453
relationship3528269801314193116165197220278337376434456516
between40692698013169123157239292346404
stone4498269801314984140199253
density47752698013168122180220241275327
in2976284801312381
HU30812848013169137
and32432848013150107167
the3434284801313593146
surgery3604284801314198129187240271323
effect.3952284801315382112164213249269
On42452848013174133
the4402284801313593146
contrary,45722848013150105164196228277309361374
we49702848013180132
confirmed29762998013149105163189216247337390450
the3450299801313593146
correlation36202998013149105137170221244292324346404463
between41072998013161115148230282336394
the4525299801313492145
stone4694299801314276132191244
cu‑49622998013149107140
mulative29763148013190147169218250272321373
size3373314801314163106158
and35553148013150108167
endoscopy37463148013154112171229269318374434481
results.4251314801313384124181203236278297
KEY29783434014770134206
WORDS321134340147105189260345408
Flexible2976359801315070121167189246268320
ureterorenoscopy,3314359801315888138169219249304335385441497536583637696742754
stone4086359801314174128185236
density,43413598013159110166204225257306319
stone4678359801314174128185236
size.4933359801314061103153169
………297638840147120240360
ÚVOD29784308018197183286388
V31264648013156
současnosti32064648013148106164212262302359417457492514
je3744464801313083
flexibilní3851464801313360113160183242265287344366
URS42484648013168123174
považována44464648013168127175225269326374424482530
za50004648013151102
moderní29764798013190148209262293352374
metodu33784798013190143176232293350
umožňující37564798013159148206249307364386408456477
mimo42624798013190112201259
jiné4545479801312850107160
efektivní4730479801315785138183220242291350372
řešení2976494801313281120171227247
litiázy32464948013118387091138181231
v34954948013148
oblasti35614948013158116138185223256277
kalichopánvičkového3856494801314695116136182238294353401457502524570614668715765821877
systému4751494801314188127160209296351
(KPS)2976509801312982138188216
ledviny.3216509801312578138188210268314327
Její3568509801313992114136
přední3730509801316092143204262283
výhodou40375098013152104163221281339397
je4458509801312678
bezpochyby45625098013161115159220279328386432493540
miniinvazivita29765248013189110166187208264310358402423471493526574
a35695248013149
ve36375248013149100
spojitosti3756524801314098156177198230285324357379
s41545248013140
laserem4217524801311967105157187238325
a45615248013149
speciálními4629524801314098151199220267288344365452473
nitinolovými2976539801315879111132188245267323370420509529
košíky35245398013146101140160206257
možnost37995398013189146187244301339373
dosáhnout41915398013158115154202259315371428460
stone‑free4670539801314074128185237270298330380432
stavu2976554801314174123170227
často3222554801314998136170225
již347155480131194083
při3573554801316091113
první3705554801316091143201222
intervenci.3951554801311875106156187239289346394415433
Podle44045548013154109168190241
guidelines46655548013159115136194246268289345398437
EAU29765698013151116180
z31765698013144
roku3244569801312985131189
201834535698013153104152198
nemá36715698013159111200248
URS39405698013168122173
specifickou41335698013141100154203224250276324369426483
kontraindi‑46365698013147103161193224274296353412433466
kaci2976584801314797146168
a31675848013150
lze3241584801312367118
ji3384584801312344
provést3452584801316193149197249290324
i38005848013123
u38465848013159
pacientů,39285848013161111160181234292324381399
kde43515848013146104157
je4532584801312376
perkutánní46325848013160114146192250284333391449470
přístup2976599801316193116156191249309
rizikový3310599801314063108131176234282335
(např.3670599801313792142202234246
při39405998013170102125
antitrombotické40895998013159117149172205238295385445505538561609655707
terapii4821599801314294126176236259281
a29766148013150
krvácivých3046614801314780133183231253302354402460
stavech).3526614801314175125173224274331357372
Vzrůstající39186148013156100132190229263313335357405426
význam43656148013150102148207256344
této4734614801313081114170
me‑49246148013190143178
tody2976629801313491153202
dokládá32036298013169128175200249310359
také3587629801314393140192
to,38046298013143100117
že39466298013153105
oproti40766298013168129162219252275
dřívějším43766298013169100123174226249288310400
jedno‑4801629801313286147206265301
značným29766448013144103152200258304394
preferencím3393644801316193144172224256307365414436524
extrakorporální39406448013153101138169219265322354414473505555578635657
rázové4621644801313181125182230282
vlny4926644801314972130176
(ESWL)2976659801312979130220269297
je3297659801312073
nyní33906598013159105164186
řazena3600659801312878123174232281
URS39016598013169123175
na40966598013159108
stejnou4224659801314176127149206264322
úroveň,4567659801315889146194246304321
tedy4912659801313182142190
jako2976674801312472117174
metoda31756748013190143176232292341
první3541674801316092145204226
volby,37916748013150107130189237250
při4065674801316193115
řešení4204674801313384124177235257
nefrolitiázy44856748013159112140173230253275308330378423475
do49846748013160118
229766898013154
cm30496898013149138
velikosti32116898013153105128149194251291326348
v35836898013153
oblasti36646898013158119142190230265287
pánvičky,39786898013161111169216239287332383396
středního4399689801314479110161222280301361420
a48436898013153
hor‑49246898013159117149178
ního2976704801315980140197
kalichu,3193704801314697119140188245301319
v35327048013149
případě3601704801316192114173222281334
dolního39557048013159117139196218277335
kalichu4310704801314696118139187244301
je4635704801311971
dokonce47267048013160117163219277325376
upřednostňována29767198013158118150201261319377417452510568616666724773
(1,377371980131297688
2).388571980131548095
Vzrůstající3126734801315599131189228262312334356404426
význam35737348013149101147206254342
flexibilní3936734801312753105153176235257279337358
ureterorenoskopie4316734801315788140173224255311343395452510550595651711734786
je2976749801312376
jasně3077749801312169110167221
patrný33207498013160110143175235281
ve36237498013149102
statistickém3749749801313873123156179218254276325371423512
přehledu4283749801316093144203226279340397
provedených470274980131609315019825131136529767648013160108158218
urologických32207648013169102161186246309332383430484534594
výkonů,38407648013160114163222283342362
uveřejném42287648013169120174207261285345400492
v47467648013160
České48327648013173126169216270