肾小管酸中毒是尿石症的病因之一。

N. V. Anokhin, M. Prosyannikov, Sergey Golovanov, O. Konstantinova, D. Voytko, A. Sivkov
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引用次数: 0

摘要

介绍。结石成因的研究对外科治疗策略的确定和尿石过敏反应的治疗具有重要意义。材料和方法。它使用的数据发表在PubMed数据库、科学电子图书馆elilibrary .ru和欧洲泌尿学协会的网站上。结果。根据现代造石学的概念,尿石症是一种多病理、多病因的疾病。肾小管酸中毒(RTA)是研究最多的导致结石的小管病变。目前的文献综述介绍基因突变,描述疾病和条件导致尿石症和RTA。我们详细介绍了RTA患者尿石症病程的特点。RTA的诊断方法、RTA患者的药物治疗特点和尿石症过敏反应特点以及评价治疗效果的标准在综述中占有特殊地位。结论。对于执业泌尿科医生来说,重要的是要记住,远端RCA可能是复发性尿石症患者发生结石的原因之一。主要诊断标准是血液生化分析、日尿生化分析等参数的具体变化,以及尿液pH值的具体指标。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
Renal tubular acidosis as one of the causes of urolithiasis.
Introduction. The lithogenesis causes study is extremely important for the surgical treatment tactics determining and for urolithiasis metaphylaxis. Materials and methods. It was used data published in the PubMed databases, the scientific electronic library eLibrary.ru, and on the website of the European Association of Urology. Results. According to modern concepts of the lithogenesis, urolithiasis is a polyetiological and polypathognomonic disease. Renal tubular acidosis (RTA) is the most studied tubulopathy leading to stone formation. Present literature review introduce genetic mutations, describes diseases and conditions leading to urolithiasis and RTA. We have given in detail the features of the urolithiasis course in RTA patients. Methods for RTA diagnosing, features of drug therapy and urolithiasis metaphylaxis in RTA patients, and criteria for evaluating the effectiveness of therapy are in a special place in the review. Conclusion. It is important for a practicing urologist to remember that distal RCA may be one of the causes of lithogenesis in patients with recurrent urolithiasis. The main diagnostic criteria are specific changes in the parameters of the biochemical analysis of blood, daily urine, as well as specific indicators of urine pH.
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