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[尿路结石的各种问题]

[Various problems in urinary calculi].

作者信息

Hesse A, Schneider H J, Hienzsch E

出版信息

Z Gesamte Inn Med. 1977 May 15;32(10):222-5.

PMID:906586
Abstract

After evaluation of the essential parameters concerning urinary calculi and patient with the help of adequate computer programmes in more than 30,000 persons some conspicious trends could be established. The necessity of operative removal of calculi is still relatively high in the most frequent species of calculi whewellite, weddellite, uric acid, struvite and carbonate apatite. Thus nearly 65% of all struvite and carbonate apatite calculi must be operatively removed in women. For individual species of stones with statistical certainty (alpha=0.01) the preference of the right kidney in women and of the left kidney in men is established. The summer months bring an increased risk of stone formation. The spontaneous passages show a highly significant increase from July to October (alpha=0.01), compared with the winter and spring months.

摘要

借助适当的计算机程序,对3万多人的尿路结石及患者的基本参数进行评估后,发现了一些明显的趋势。在最常见的结石种类——水草酸钙、水合草酸钙、尿酸、磷酸铵镁和碳酸磷灰石中,手术取出结石的必要性仍然相对较高。因此,在女性中,几乎65%的磷酸铵镁和碳酸磷灰石结石必须通过手术取出。对于具有统计学确定性(α=0.01)的个别结石种类,确定了女性右肾和男性左肾的偏好。夏季结石形成的风险增加。与冬季和春季相比,自发排石从7月到10月有极显著增加(α=0.01)。

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