Seyfarth H H, Hahne B, Rostek F P, Sluka G, Eismann D
MMW Munch Med Wochenschr. 1975 Nov 14;117(46):1841-4.
The formation of urinary calculi cannot yet be prevented with certainty. Consequently the dissolution of stones remains a focus of medical interest. The speed of solution of a calculus is not a quantity typical of the substance, but depends largely on the structural formation of the urinary calculi. With very different types of structure (e.g. Whewellite and Weddellite stones) the rate of dissolution can therefore fluctuate between wide limits in spite of similar phase composition. Consequently, type of structure, course of solution and rate of solution can be clearly correlated. Stones with relatively uniform structure formation (e.g. Struvite stones) on the other hand show largely similar solution rates. Medically, it is of interest that in certain structural types, solution may lead to disintegration of the stone into isolated solution residues.
目前尚无法确切预防尿路结石的形成。因此,结石溶解仍然是医学关注的焦点。结石的溶解速度并非该物质的典型特征量,而是在很大程度上取决于尿路结石的结构形成。尽管相组成相似,但对于结构类型差异很大的结石(例如草酸钙石和草酸钙镁石结石),其溶解速度可能在很宽的范围内波动。因此,结构类型、溶解过程和溶解速度之间可以明确关联。另一方面,结构形成相对均匀的结石(例如磷酸铵镁结石)显示出大致相似的溶解速度。从医学角度来看,有趣的是在某些结构类型中,溶解可能会导致结石分解成孤立的溶解残渣。