Thomas J, Fompeydie D, Thomas E, Arvis G
Service d'Urologie, Hôpital St-Antoine, Paris.
J Urol (Paris). 1994;100(2):79-85.
In a paper published in 1974, it was reported that uro-oxalic stones are found more often in subjects with group O than with group A blood types although the proportions of these two blood types are approximately equivalent in the French population. The present work confirms these data, the ratio of group O to group A renal lithiasis being approximately 3 to 1. In a paper published in 1987, uro-oxalic stones were found to occur preferentially on the left side: 84 on the left and 39 on the right. The present work confirms this notion since in 57 cases, stones were bilateral in 2 cases, on the left in 39 and on the right in 16. Extra corporeal shock wave lithotripsy was performed in 40 of the 57 cases and showed that uro-oxalic stones are more resistant to shock-waves than the other types of stones. They are about as hard as calcium oxalate monohydrate stones or harder in certain cases: A mean of 3,865 shock-waves were required in the 40 cases of the uro-oxalic lithiasis treated with the HM3 Dornier device, while the mean number of shock-waves required for all types of stones in general varies from 2,000 to 2,500. In 4 cases, 5,000 or 6,000 high power shock-waves (7,000 in one session and 9,500 in two sessions) had to be used to obtain a satisfactory result. The calcium oxalate part of these stones is almost always composed of calcium oxalate monohydrate.(ABSTRACT TRUNCATED AT 250 WORDS)
在1974年发表的一篇论文中,据报道,草酸尿石症在O型血的人群中比A型血的人群中更为常见,尽管这两种血型在法国人群中的比例大致相当。本研究证实了这些数据,O型血与A型血的肾结石比例约为3比1。在1987年发表的一篇论文中,发现草酸尿石症优先出现在左侧:左侧84例,右侧39例。本研究证实了这一观点,因为在57例病例中,双侧结石2例,左侧39例,右侧16例。57例中的40例进行了体外冲击波碎石术,结果显示草酸尿石症比其他类型的结石对冲击波更具抵抗力。它们的硬度与一水合草酸钙结石相当,或在某些情况下更硬:在用HM3多尼尔设备治疗的40例草酸尿石症病例中,平均需要3865次冲击波,而一般所有类型结石所需的冲击波平均次数在2000至2500次之间。在4例病例中,必须使用5000或6000次高能量冲击波(一次治疗7000次,两次治疗9500次)才能获得满意的效果。这些结石中的草酸钙部分几乎总是由一水合草酸钙组成。(摘要截短于250字)