Sutherland J W
Int Surg. 1983 Apr-Jun;68(2):163-5.
The management of patients suffering from bilateral upper urinary tract stone presents one of the most difficult problems in urological surgery. The clinical course of 149 patients suffering from bilateral urolithiasis indicates that it has more serious consequences than unilateral stone disease in respect of postoperative recurrence, mortality, infection, and impairment of renal function. The object of this paper is to establish its incidence and the results of treatment. This enables us to assess the best policy of management in bilateral stone, using our increased knowledge of etiology and biochemical profiles, and employing the more sophisticated modern methods of complete stone removal. A more aggressive approach to bilateral staghorn calculi is considered desirable.
双侧上尿路结石患者的治疗是泌尿外科手术中最棘手的问题之一。149例双侧尿路结石患者的临床病程表明，就术后复发、死亡率、感染及肾功能损害而言，双侧尿路结石比单侧结石病的后果更为严重。本文的目的是确定其发病率及治疗结果。这使我们能够利用对病因学和生化指标的进一步了解，并采用更先进的现代方法完全清除结石，从而评估双侧结石的最佳治疗策略。对于双侧鹿角形结石，采取更积极的治疗方法是可取的。
