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混合性磷酸盐肾结石的外科治疗。长期随访。

The surgical treatment of mixed phosphatic renal lithiasis. Long-term follow-up.

作者信息

Roed-Petersen K, Schmidt O F, Wolf H

出版信息

Scand J Urol Nephrol. 1984;18(3):211-3. doi: 10.3109/00365598409180185.

DOI:10.3109/00365598409180185
PMID:6494828
Abstract

Of a total of 36 patients operated on for mixed phosphatic renal lithiasis without renal cooling, 26 were re-examined after a mean postoperative interval of 51 1/2 months. Pelvic and calyceal stones had been present in 17 of these patients and staghorn stones in 9. All the patients had presented with persistent urinary tract infection. The total of kidneys operated on was 41. Examination 1 to 3 months after the operation showed complete stone clearance in 85% of these kidneys nd freedom for urinary tract infection in 78% of the patients. At long-term follow-up 73% of the patients had no urinary tract infection. The follow-up investigation suggest that tiny fragments of stone may be left in difficult operations, since such fragments do not necessarily lead to formation of new stones and are not necessarily accompanied by persistent urinary tract infection.

摘要

在总共36例接受混合性磷酸盐肾结石手术且未进行肾脏降温的患者中,26例在术后平均51.5个月进行了复查。这些患者中,17例有肾盂和肾盏结石,9例有鹿角形结石。所有患者均有持续性尿路感染。手术的肾脏总数为41个。术后1至3个月的检查显示,这些肾脏中有85%结石完全清除,78%的患者尿路无感染。长期随访时,73%的患者无尿路感染。随访调查表明,在困难的手术中可能会残留微小结石碎片,因为这些碎片不一定会导致新结石形成,也不一定伴有持续性尿路感染。

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