Boyce W H, Resnick M I
J Urol. 1979 Jun;121(6):706-10. doi: 10.1016/s0022-5347(17)56963-3.
A formal protocol, controlled metabolic evaluation is essential to the most effective treatment of any patient with renal calculi, regardless of the crystalline composition of the stone. The design of the protocol and of the data sheets should be compatible with ease of diagnosis and selection of corrective therapeutic measures. These data also serve as a reference to monitor response to treatment. Treatment is highly individualized with the objective to reduce all potentially crystallizable ions to basal levels. If this is difficult to accomplish certain ratios of ions are brought to as near normal values as possible.
对于任何肾结石患者，无论结石的晶体成分如何，进行正式的、有对照的代谢评估对于最有效的治疗至关重要。方案和数据表的设计应便于诊断和选择纠正性治疗措施。这些数据也可作为监测治疗反应的参考。治疗高度个体化，目标是将所有潜在可结晶离子降至基础水平。如果难以实现这一点，则将某些离子比例调整至尽可能接近正常值。
