Honda Masahito, Yamamoto Keisuke, Momohara Chikahiro, Komori Kazuhiko, Takada Tuyoshi, Fujioka Hideki
Department of Urology, Osaka Police Hospital.
Hinyokika Kiyo. 2003 Jun;49(6):307-10.
Oral chemolysis of uric acid stones was performed retrospectively. Twenty-one patients with upper urinary uric acid stones were given alkaline citrate (Uralyt-U) orally. In the case of hyperuicemia, allopirinol was combined. In 11 out of 15 patients (73.3%) treated with oral chemolysis alone, stones were dissolved. In 4 out of 6 cases (66.7%) combined with extracorporeal shock-wave lithotripsy, administration of alkaline citrate shortened the period to be stone-free. In conclusion, we successfully treated 15 out of 21 cases (71.4%) with the administration of alkaline citrate.
对尿酸结石的口服化学溶解进行了回顾性研究。21例上尿路尿酸结石患者口服碱性枸橼酸盐(友来特)。对于高尿酸血症患者,加用别嘌呤醇。仅接受口服化学溶解治疗的15例患者中,11例(73.3%)结石溶解。在6例联合体外冲击波碎石术的患者中,4例(66.7%)应用碱性枸橼酸盐治疗缩短了结石清除时间。总之,应用碱性枸橼酸盐治疗,我们成功治愈了21例中的15例(71.4%)。