Abdel-Halim Rabie E, Abdel-Halim Mostafa R
Division of Urology, Department of Surgery 37, King Khalid University Hospital, PO Box 7805, Riyadh 11472, Kingdom of Saudi Arabia.
Saudi Med J. 2006 Oct;27(10):1462-7.
Knowledge of the chemical composition and structure of urinary stones is of great value in the choice of treatment and prevention of recurrence. This is a brief review and a comparative study of the principles and practical application of various chemical and physical techniques used for urinary stone analysis. The different methods of classifying and grouping urinary stones by results of chemical analytic techniques are, also, compared and evaluated. In addition to reviewing various techniques used for the in-vitro analysis of removed stone samples, the newly emerging physical and radiological techniques for the in-vivo intact-stone analysis are, also, evaluated. These in-vivo techniques, particularly the rapidly advancing unenhanced spiral CT scanning, represent an important step forward towards the notion of non- destructive analysis of urinary stones while still in situ before the choice of treatment modality.
了解尿结石的化学成分和结构对于治疗方案的选择以及预防复发具有重要价值。本文对用于尿结石分析的各种化学和物理技术的原理及实际应用进行简要综述和比较研究。同时,还对根据化学分析技术结果对尿结石进行分类和分组的不同方法进行比较和评估。除了回顾用于体外分析取出结石样本的各种技术外,还对新兴的用于体内完整结石分析的物理和放射技术进行评估。这些体内技术,尤其是快速发展的非增强螺旋CT扫描,代表了在选择治疗方式之前朝着对仍位于原位的尿结石进行无损分析这一理念迈出的重要一步。