摘要
目的：总结2001年9月-2005年4月对16例尿路尿酸结石的诊治经验。方法：对14例上尿路结石患者行B超、腹部平片、静脉尿路造影和（或）逆行插管造影及螺旋CT检查；对2例膀胱结石患者行膀胱镜检查均考虑为尿酸结石；所获标本均做成分分析证实为尿酸结石。全部服用枸橼酸氢钾钠颗粒剂（友来特），个别加服别嘌呤醇片。调节友来特剂量使尿液pH值维持在6．8左右。结果：14例上尿路结石和2例膀胱结石均溶尽或缩小后排出。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。
Objective： To summarize the therapy experience on 16 cases of uric acid calculi from Sept,2001 to Apr,2005. Methods ..Forteen cases of upper urinary stones were diagnosed definitely by B-Utralsony, abdominal plain radiography,intravenous pyelography （IVP）, retrograde pyelography （RGP）, spiral computerized tomography （CT） and 2 cases of bladdy stones by cytoscope. The stone samples were made component analysis to confirm to be uric acid calculi. They all took urine alkalinizing agent Uralyt-u but allopurinol together individually. The dosage of Uralyt-u was adjusted so as to make the urine pH around 6.8. Results：The 16 cases were successfully dissoluted or expulsed in the end. 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.
出处
《实用临床医学（江西）》
CAS
2006年第7期55-57,共3页
Practical Clinical Medicine
基金
江西省教育厅计划资助项目(G20030201)
关键词
尿酸结石
诊断
溶石治疗
uric acid stone
diagnosis
dissolution therapy
