医学
尿酸
肾结石
草酸钙
药物治疗
医疗
外科
尿
泌尿科
内科学
重症监护医学
作者
G Caramia,L. Di Gregorio,María Tarantino,Antonino Galuffo,R. Iacolino,M. Caramia
出处
期刊:Urologia Internationalis
[S. Karger AG]
日期:2004-01-01
卷期号:72 (Suppl. 1): 24-28
被引量:9
摘要
Medical treatment for the most commonly encountered types of renal stones is described. Nowadays treatment for uric acid stones is well-defined: alkalinizing urine is easy with drugs that are sufficiently active and well enough managed. Relapse is avoided in a high percentage of patients. Medical treatment of phosphate or calcium stones is a more open question as results are far from satisfactory compared with intra- and extra-corporeal approaches which are often minimally invasive and well accepted by both patient and urologist. Relapses are not easy to control because prophylactic measures such as changes in lifestyle and diet are never activated or because they are adopted for a brief period of time. Water therapy is examined, with the choice of water depending on the type of stone, together with drug therapy. Drugs such as citrate, with or without magnesium, and thiazides are considered excellent for curing renal stones and relapses. Although medical therapy has a limited role in many types of stones, its use is decisive in some others.
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