尿酸结石

尿酸结石致急性输尿管梗阻的处理

The management of acute ureteral obstruction due to uric acid stones

泌尿系统尿酸结石研究中的化学基础

Chemical Basis in Investigation of Uric Acid Stones in Urinary System

氨基丁三醇E液局部灌注治疗输尿管尿酸结石（附14例报告）

Dissolution of ureteral uric acid calculi with local irrigation of THAM-E ( report of 14 cases )

100%的尿酸结石患者常吃动物蛋白，24h尿pH低于6.0（P＜0.01）；

100.0 % patients of uric acid calculi ate animal albumen regularly , and urinary pH within 24h were lower than 6.0 ( P ﹤ 0.01 ) .

目的探讨局部灌注氨基丁三醇E液（THAME）治疗输尿管尿酸结石的疗效。

Objective To investigate the efficacy of THAM-E by way of local litholytic irrigation ( LLI ) for treating ureteral uric acid calculi .

其次为尿酸结石，占20%；

Followed by uric acid stones accounted for 20 % ;

尿酸结石的代谢评估与溶石治疗

Metabolic evaluation and dissolution therapy of uric acid calculi

友来特对输尿管尿酸结石的排石促进作用

The efficacy of Uralyt-u in accelerating the expulsion of ureteral uric acid calculi

尿酸结石的诊断及治疗（附16例报告）

Diagnosis and Treatment of Uric Acid Calculi ( A Report of 16 Cases )

目的探索以代谢评估为指导，用药物溶解尿酸结石的规范化途径。

Objective To look for a standard way to cure uric acid calculi with medicine .

局部灌注溶石液治疗上尿路尿酸结石病人的护理

Nursing care of patients with upper urethra uric acid calculus treated with local stone-lytic fluid perfusion

枸橼酸钾治疗尿酸结石11例柠檬酸铵对紫杉醇生物合成途径的诱导作用研究

Treatment of Uric Acid Nephrolithiasis with Potassium Citrate Elicitation of taxol biosynthetic pathway by ammonium citrate

目的探讨尿液碱化剂友来特对输尿管尿酸结石排石治疗的促进作用。

Objective To investigate the efficacy of urine alkalinizing agent Uralyt-u in accelerating the expulsion of ureteral uric acid calculi .

探索药物防治移植肾尿酸结石的方法（附四例报道）

Prevention and treatment of uric acid calculi in transplanted kidney with medicine under the guide of metabolic evaluation ( report of 4 cases )

对所收集的泌尿系结石进行红外光谱定性分析，测定其结石成分并分析尿酸结石所占的比例变化。

To analysis the chemical composition of 290 urinary stones by infrared ( IR ) spectroscopy and study the ratio changes of uric acid calculus .

通过回顾4例患者成功治疗的体验，讨论了移植肾、输尿管尿酸结石预防及治疗的选择。

Through the experience with which 4 patients was treated successfully , we discussed the regimen of prevention and treatment for uric acid stone in transplanted kidney or ureter .

结论应在标准化的代谢评估指导下，使用枸橼酸盐溶解移植肾尿酸结石，并防止其复发。

Conclusion Citrate should be used to dissolve uric acid calculi in transplanted kidney and to prevent the recurrence of calculi under the guide of the standard metabolic evaluation .

本文将1988年～1994年共收治的7例前列腺结石用X-射线衍射法进行了定性分析，2例为尿酸结石、5例为磷灰石结石。

Seven cases of prostatic calculi which collected from 1988 - 1994 were qualitatively analyzed with X-ray diffraction method . Two cases were uric acid calculi and five apatite calculi .

结论：结合全身情况选择碱化尿液溶石治疗安全、疗效好，为目前尿酸结石治疗的主要方法。

Conclusion : It is safe to choose dissolution therapy of urine alkalization with combining the body conditions , which was main therapy method for uric acid stones at present .

提示局部感染是磷灰石结石形成的主要原因，而尿酸结石与高尿酸尿和尿液酸化有明显关系。

These findings suggested that local infection was the main cause of apatite stone formation ; while hyperuricuria and acidification of urine contributed to the deposition of uric acid in the prostate .

尿酸结石男性明显多于女性，男性患者41例（14.1%），女性患者12例（4.1%），两者比例3.4∶1。

In the uric acid calculus patients , the males were much more than the females , the male patients 41 cases ( 14.1 % ), the female patients 12 cases ( 4.1 ), and the ratio was 3.4:1 .

尿酸结石导致急性梗阻性无尿亦可试作溶石治疗。1例患儿放置导管以进行溶石治疗；

The dosage was adjusted so as to make the urine pH around 6.8.Patients with acute obstructive anuria due to uric acid stones were also candidates of dissolution therapy . Ureteral catheters were placed in 1 patient suffered from double renal calculus and double ureteral calculus for dissolution therapy .

UA（尿酸）结石5例均为纯结石（95%）。

Cases of UA ( uric acid ) calculus are pure stone ( the percent of the composition 95 % ) .

中下段失败5例，其中碎石不完全1例，尿酸性结石未能粉碎1例，输尿管镜操作失败改开放手术3例。

Of the5 failed cases with middle and lower ureteral calculi , 1 was due to incomplete lithotripsy , nonfragmentation in1 case and failure of ureteroscopy in3 ( changed to open operation ) .

如果不及时控制，会导致关节变形，更有甚者，引起间质性肾炎，尿酸性肾结石，导致肾脏的破坏。

If not controlled in time , it will lead to joint deformity , even worse , cause interstitial nephritis , uric acid kidney stones , leading to kidney damage .

结论1.本组含钙结石上尿路比下尿路多，含尿酸及尿酸盐结石下尿路比上尿路多。

No cystine stone was found in this investigation . Conclusions : 1.The calcic stones in upper urinary tract are remarkably more than those in the lower urinary tract .

含尿酸及尿酸盐的结石下尿路比上尿路多，分别为70.0%（21/30）∶50.0%（88/176）（P<0.05）。

The percentage of uric acid stone in lower urinary tract was higher than that in upper urinary tract ( 70.0 % ( 21 / 30 ): 50.0 % ( 88 / 176 )( P < 0.05 )) .