Department of Urology, Einstein Healthcare Network, 1200 W. Tabor Road 3 Sley Building/MossRehab, Philadelphia, PA, 19141, USA.
Division of Urologic Oncology and Urology, Fox Chase Cancer Center, Philadelphia, PA, 19111, USA.
Curr Urol Rep. 2021 Jun 4;22(8):38. doi: 10.1007/s11934-021-01057-7.
The purpose of this review paper is to describe the 24-h urine collection in terms of its utility, collection process, and common problems with its acquisition.
Although 24-h urine collections are standard of care for high-risk stone formers, several nuances in test acquisition including inaccurate urine collections 50% of the time and poor patient compliance limit its potential utility. Compliance in obtaining 24-h urine collections has been shown to be improved in patients who have not undergone surgical treatment of urinary calculi, patients with metabolic stone disease or family history of stone disease, Caucasian ethnicity, and in those with more sedentary occupations. Studies show conflicting data of compliance regarding patient age and gender. Physicians must understand the difficulties regarding 24-h urine collections including patient compliance, variability between collections, and complexities with interpretation to best utilize this tool in guiding clinical management for the treatment of nephrolithiasis.
本文旨在描述 24 小时尿液收集的应用、收集过程以及采集过程中的常见问题。
尽管 24 小时尿液收集是高危结石形成者的标准护理方法，但该检测获取过程中存在一些细微差别，包括 50%的时间尿液收集不准确，以及患者顺应性差，这限制了其潜在的应用。在未接受尿路结石手术治疗、患有代谢性结石病或结石病家族史、白种人以及从事更多久坐职业的患者中，已证明获取 24 小时尿液收集的顺应性得到了提高。研究表明，患者年龄和性别与顺应性之间的数据存在矛盾。医生必须了解 24 小时尿液收集方面的困难，包括患者顺应性、收集之间的差异以及解释的复杂性，以便在指导肾结石治疗的临床管理中最好地利用该工具。
