Schmucki O
Helv Chir Acta. 1981 Aug;48(3-4):477-83.
Base of real metaphylaxis in the renal stone disease are the analysis of stone and the research of the metabolism in blood plasma and urine. The greatest part of the happened stones is classifying in the four groups: oxalate, phosphate, uric acid and cystine. The metaphylaxis by whewellite and weddellite is the same for both species, but there is a distinction in growth and recurrence. In the phosphate stones, the section with the most different composition, a therapy postoperatively is only possible with the distinction in "acid" and "alkaline" stones. The uric acid and cystine stones need a tight supervision and metaphylaxis for all the life. On the basis of 1200 analyses with X-ray diffraction the difference of the renal stones is discussed and the deduction for a real metaphylaxis is shown.
肾结石病真正预防的基础是对结石的分析以及对血浆和尿液代谢的研究。所形成的结石大部分可分为四类：草酸盐、磷酸盐、尿酸和胱氨酸。文石和胶磷矿的预防方法对这两种类型是相同的，但在生长和复发方面存在差异。在成分差异最大的磷酸盐结石中，只有区分“酸性”和“碱性”结石才能进行术后治疗。尿酸和胱氨酸结石需要终身密切监测和预防。基于1200次X射线衍射分析，讨论了肾结石的差异并给出了真正预防的推论。
