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肾结石的诊断与管理

Diagnosis and Management of Nephrolithiasis.

作者信息

Ingimarsson Johann P, Krambeck Amy E, Pais Vernon M

机构信息

Department of Urology, Mayo Clinic, 200 First Street Southwest, Rochester, MN 55905, USA.

Section of Urology, Department of Surgery, Geisel School of Medicine at Dartmouth, Hanover, NH, USA; Section of Urology, Dartmouth Hitchcock Medical Center, Lebanon, NH 03756, USA.

出版信息

Surg Clin North Am. 2016 Jun;96(3):517-32. doi: 10.1016/j.suc.2016.02.008.

Abstract

Nephrolithiasis is a common affliction, affecting approximately 10% of adults. Potentially presenting with acute abdominal or flank pain, nausea, or emesis, it may pose as a general surgical condition. Therefore, recognition, diagnosis, and management concerns are pertinent to the general surgeon. Furthermore, the risk of nephrolithiasis is increased in common general surgical conditions, including inflammatory bowel disease, hyperparathyroidism, and short gut. Nephrolithiasis may be induced as a result of general surgical interventions, including gastric bypass and bowel resection with ileostomy. An understanding of this common disease will improve coordination of patient care between urologists and general surgeons.

摘要

肾结石是一种常见疾病,约10%的成年人受其影响。它可能表现为急性腹痛、侧腹痛、恶心或呕吐,可能被误诊为普通外科疾病。因此,识别、诊断和处理相关问题对普通外科医生来说至关重要。此外,在一些常见的普通外科疾病中,如炎症性肠病、甲状旁腺功能亢进和短肠综合征,肾结石的风险会增加。普通外科手术干预,包括胃旁路手术和回肠造口术的肠切除术,也可能诱发肾结石。了解这种常见疾病将改善泌尿外科医生和普通外科医生之间的患者护理协调。

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