Picurelli L, Llopis B, Navalón P, Leal M, San Juan C, Moral A, Ferrer Roda J
Actas Urol Esp. 1989 Sep-Oct;13(5):375-7.
We present a series of cases of complex renal lithiasis, in which we carried out temporary internal urinary bypassing, prior to extracorporeal lithotripsy, by means of the retrograde insertion of a double-J urethral catheter, studying the time of stay, the presence or not of contamination in the catheter and its relationship with the calcifications found in them. We also carried out a metabolic-functional study of each patient, determining the urinary pH and the serum and urinary calcium, phosphorous and uric acid concentrations, and observing their possible influence on the above-mentioned complications. Of the 25 catheters studied, we observed calcification in 11 cases (44%). In these we observed urealytic germs (Proteus and Pseudomonas), without finding modifications of urinary pH. We observed no relationship between the calcium deposits and serum and urinary calcium, phosphorous and uric acid concentration.
我们展示了一系列复杂肾结石病例,在这些病例中,我们在体外冲击波碎石术前通过逆行插入双J型尿道导管进行了临时内部尿路分流,研究了住院时间、导管中是否存在污染及其与其中发现的钙化的关系。我们还对每位患者进行了代谢功能研究,测定了尿液pH值以及血清和尿液中钙、磷和尿酸的浓度,并观察了它们对上述并发症可能产生的影响。在研究的25根导管中,我们观察到11例(44%)出现钙化。在这些病例中,我们观察到尿素分解菌(变形杆菌和假单胞菌),而尿液pH值没有变化。我们未观察到钙沉积与血清和尿液中钙、磷和尿酸浓度之间存在关联。