Verbaeys A, Minnaert H, De Paepe M, Ringoir S, De Sy W A
Urology. 1985 Jan;25(1):22-5. doi: 10.1016/0090-4295(85)90556-4.
One hundred twenty-seven selected stone formers were evaluated. With the simple ambulatory tests proposed by Pak for metabolic screening and a complete urologic evaluation an anomaly was found in more than 90 per cent of the cases. The patients were divided into three groups: (1) patients operated on for staghorn stones; (2) patients with episodes of spontaneous stone eliminations or young people with only one stone episode; and (3) patients operated on for stone disease. No significant differences were noted except for the occurrence of urinary tract infection and for struvite and calcium oxalate occurrence in the different groups. Urinary tract infection combined with a metabolic disorder appear to make the evolution from small kidney stone to staghorn stone a reality.
对127名经挑选的结石患者进行了评估。通过帕克提出的用于代谢筛查的简单门诊检查以及全面的泌尿外科评估，发现超过90%的病例存在异常。患者被分为三组：(1) 因鹿角形结石接受手术的患者；(2) 有自发排石情况的患者或仅有一次结石发作的年轻人；(3) 因结石病接受手术的患者。除了不同组中尿路感染的发生率以及磷酸镁铵和草酸钙的发生率外，未发现显著差异。尿路感染合并代谢紊乱似乎使小肾结石演变为鹿角形结石成为现实。
