Türk Hakan, Ün Sıtkı
Dumlupınar University, Evliya Celebi Training and Research Hospital, Department of Urology, Kutahya.
Arch Ital Urol Androl. 2017 Jun 30;89(2):143-145. doi: 10.4081/aiua.2017.2.143.
Many patients present to urology and emergency departments for acute renal colic complaints. There are many different imaging studies that can be used in patients with a pre-diagnosis of acute renal colic. In this study, we would like to assess the efficacy of using clinical and laboratory results in patients with flank pain complaint as a predictive factor of urinary system stone disease.
All patients were assessed using spinal non-contrast complete abdominal computerized tomography and urine analysis. Presence of stones and their number and size were recorded.
516 patients who were included in the study were divided into 2 groups according to urinary stone presence. Group 1 (n = 388) consisted of patients with stones meanwhile patients in Group 2 (n = 128) were stone-free. According to these results, male sex, presence of microscopic hematuria, stone history in the family, nausea and emesis in addition to pain and accompanying urinary symptoms were detected as predictive factors in diagnosing urinary stone disease by multivariate analysis.
From our study results, we can conclude that uroflowmetry is a very useful tool in monitoring lower urinary system complaints.
许多患者因急性肾绞痛症状前往泌尿外科和急诊科就诊。对于预先诊断为急性肾绞痛的患者，有多种不同的影像学检查可供使用。在本研究中，我们旨在评估将有胁腹疼痛症状患者的临床和实验室检查结果作为泌尿系统结石病预测因素的有效性。
所有患者均接受脊柱非增强全腹计算机断层扫描和尿液分析。记录结石的存在情况及其数量和大小。
纳入研究的516例患者根据是否存在尿路结石分为两组。第1组（n = 388）为有结石的患者，而第2组（n = 128）为无结石患者。根据这些结果，多因素分析发现男性、镜下血尿、家族结石病史、除疼痛外的恶心和呕吐以及伴随的泌尿系统症状是诊断尿路结石病的预测因素。
从我们的研究结果可以得出结论，尿流率测定是监测下泌尿系统疾病的非常有用的工具。
