[肾结石的类型。与尿液生化的关系]
[Types of kidney calculi. Relationship with urinary biochemistry].
作者信息
Grases Freixedas F, Conte Visús A, Costa-Bauzá A, Ramis Barceló M
机构信息
Laboratorio de Investigación en Litiasis Renal, Facultad de Ciencias, Universidad de las Islas Baleares, Palma de Mallorca.
出版信息
Arch Esp Urol. 2001 Nov;54(9):861-71.
OBJECTIVE
To present a simple classification of the most frequent renal calculi that relates each type of calculus with the main possible etiologic factors linked to its formation (mainly urinary biochemical parameters).
METHODS
The macro, microstructure and composition of 2,500 renal calculi were studied by appropriate combination of stereoscopic microscopy, IR spectroscopy and scanning electron microscopy + X-ray microanalysis. The information obtained were related with the main urinary biochemical parameters, determined by conventional analytical procedures.
RESULTS
Ten main categories of renal stones, covering over 95% of all conceivable calculi, are distinguished based on their composition and structure. Etiologic factors, mainly urinary biochemical parameters, leading to the formation of stone of every category are specified.
CONCLUSIONS
From the detailed study of the renal calculus important etiologic factors can be deduced. Such information complements and confirms the urinary biochemical studies. As a consequence, the corresponding treatment can be better established.
目的
提出一种对最常见肾结石的简单分类方法，将每种结石类型与其形成相关的主要可能病因因素（主要是尿液生化参数）联系起来。
方法
通过立体显微镜、红外光谱和扫描电子显微镜+X射线微分析的适当组合，研究了2500颗肾结石的宏观、微观结构和成分。所获得的信息与通过传统分析程序测定的主要尿液生化参数相关。
结果
根据其成分和结构，区分出十种主要类型的肾结石，涵盖了所有可想象结石的95%以上。明确了导致各类结石形成的病因因素，主要是尿液生化参数。
结论
通过对肾结石的详细研究，可以推断出重要的病因因素。这些信息补充并证实了尿液生化研究。因此，可以更好地确定相应的治疗方法。
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