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感染性结石的治疗

Treatment of the Infected Stone.

作者信息

Marien Tracy, Miller Nicole L

机构信息

Department of Urologic Surgery, Administrative Office, A-1302 Medical Center North, Vanderbilt University Medical Center, Nashville, TN 37232-2765, USA.

Department of Urologic Surgery, Administrative Office, A-1302 Medical Center North, Vanderbilt University Medical Center, Nashville, TN 37232-2765, USA.

出版信息

Urol Clin North Am. 2015 Nov;42(4):459-72. doi: 10.1016/j.ucl.2015.05.009. Epub 2015 Jul 26.

Abstract

Infected kidney stones refer to stones that form because of urinary tract infections with urease-producing bacteria, secondarily infected stones of any composition, or stones obstructing the urinary tract leading to pyelonephritis. The mainstay of treatment of infection stones is complete stone removal. Kidney stones that obstruct the urinary tract and cause obstructive pyelonephritis are also frequently referred to as infected stones. Obstructive pyelonephritis is a urologic emergency as it can result in sepsis and even death. Infection stones and obstructive stones causing pyelonephritis are different disease processes, and their workup and management are described separately.

摘要

感染性肾结石是指由于产脲酶细菌引起的尿路感染、任何成分的继发性感染结石或阻塞尿路导致肾盂肾炎的结石。治疗感染性结石的主要方法是完全清除结石。阻塞尿路并导致梗阻性肾盂肾炎的肾结石也常被称为感染性结石。梗阻性肾盂肾炎是一种泌尿外科急症,因为它可导致败血症甚至死亡。感染性结石和导致肾盂肾炎的梗阻性结石是不同的疾病过程,它们的检查和处理将分别进行描述。

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