Veser Julian, Özsoy Mehmet, Seitz Christian
Department of Urology, Medical University, General Hospital Vienna, Wahringer Gurtel 18-20, Vienna, Austria.
Curr Opin Urol. 2018 Sep;28(5):414-419. doi: 10.1097/MOU.0000000000000522.
To summarize the latest findings of congenital and acquired diseases related to stone formation and help understanding the multitude of cofactors related to urolithiasis.
Urolithiasis is related to a broad spectrum of congenital and acquired diseases and its management varies according to the stone type, underlying disease or recurrence rate, but it also changes according to recent findings and developments. As prevalence of urolithiasis is constantly increasing, identification of high-risk stone formers and early treatment is essential. Therefore, genetic evaluation like whole exome sequencing becomes a pertinent part of further diagnostics.
Stone formation is a very heterogeneous pathomechanism. This prompt us to look at every patient individually particularly in high-risk patients, including stone and 24-h-urine analysis and additional diagnostic work-up based on stone type or underlying disease.
总结与结石形成相关的先天性和后天性疾病的最新研究结果,以助于理解与尿石症相关的多种辅助因素。
尿石症与广泛的先天性和后天性疾病相关,其治疗方法因结石类型、基础疾病或复发率而异,但也会根据最新研究结果和进展而改变。由于尿石症的患病率不断上升,识别高危结石形成者并进行早期治疗至关重要。因此,像全外显子组测序这样的基因评估成为进一步诊断的重要组成部分。
结石形成是一种非常异质性的发病机制。这促使我们对每个患者进行个体化评估,尤其是高危患者,包括结石和24小时尿液分析,以及根据结石类型或基础疾病进行额外的诊断检查。