上尿路结石复发原因分析及其治疗(附42例报告)  

Analysis The Reason and Treatment of the Recurrent Upper Urinary Stone(Report of 42 Cases)

作　　者：屠民琦[1] 施国伟[1] 何家扬[1] 

机构地区：[1]复旦大学上海第五人民医院泌尿外科,上海200240

出　　处：《临床泌尿外科杂志》2010年第11期815-817,共3页Journal of Clinical Urology

摘　　要：目的:探讨泌尿系结石复发的原因及其处理措施。方法:回顾性分析2005年1月～2010年5月在我院接受治疗的42例上尿路复发结石患者临床资料,并对其尿石成分进行分析,对血、尿理化指标及代谢指标进行检测。结果:术后复发结石成分中,与原发结石成分相同者34例;与原发结石成分不同者8例,其中1例为尿流改道术后(草酸钙结石变为尿酸结石),1例为ESWL术后(草酸钙结石变为尿酸结石),3例为开放取石术后(草酸钙结石变为感染结石及尿酸结石),2例为输尿管碎石取石术后(尿酸结石变为感染结石)。在血、尿理化检测中,糖尿病8例,尿路感染7例,肥胖6例,甲状旁腺机能亢进3例。结论:根据复发性尿路结石的临床特点及诱发因素,采取针对性措施,选择合理的治疗方式,可以提高治疗效果。Objective：To discuss the causation and treatment of the recurrent upper urinary stone. Methods：42 patients with upper urinary, tract calculi during January 2005 to May 2010 were recurred after stones cured, treat again. Mensurate the physical and chemical indicators of urine and blood, the metabolic indexes and the analysis of the stone. Results：Recurrence of stone composition in the same composition as the original stones in 34 cases; different components of the original stones in 8 cases, including 1 case of urinary diversion surgery （calcium oxalate stones into uric acid stones）, 1 case of ESWL postoperative （calcium oxalate stones into uric acid stones）, 3 eases after open stone （calcium oxalate stones and uric acid becomes infected）, 2 cases of ureteral stone after stone （uric acid stones become infected stones. ） In the blood and urine chemical testing, diabetes in 8 cases, 7 cases of urinary tract infections, obesity in 6 cases, 3 cases of hyperparathyroidism. Conclusions： According to recurrent urolithiasis clinical characteristics and predisposing factors, take specific measures, a reasonable choice of treatment, can improve the therapeutic effect.

关 键 词：上尿路结石 复发 治疗 

分 类 号：R691.4[医药卫生—泌尿科学]