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首页> 外文期刊>Urology >Re: Marchini et al.: Silent Ureteral Stones: Effect on Kidney Function-Can Treatment of Silent Ureteral Stones Preserve Kidney Function? (Urology 2012;79:304-308)
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Re: Marchini et al.: Silent Ureteral Stones: Effect on Kidney Function-Can Treatment of Silent Ureteral Stones Preserve Kidney Function? (Urology 2012;79:304-308)

机译:回复:Marchini等人:无声输尿管结石:对肾功能的影响-无声输尿管结石的治疗能否保留肾功能? (泌尿外科2012; 79:304-308)

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摘要

TO THE EDITOR: The natural history of asymptomatic ureteral stones on the renal function is intriguing. The present study helps in understanding the natural history of silent ureteral stones with hydronephrosis. In this study, 27 (5.3%) of 506 met the criteria of a silent ureteral stone, but only 9 patients (1.7%) had a pre- and postoperatively docu' mented dimercaptosuccinic acid scan to measure the change in function of the renal unit. Also, among the 9 patients, 6 (66.67%) had a history of urologic disease, which in itself could have been a cause for the hydrone-phrosis and decreased renal function at presentation rather than the silent ureteral stone. Hence, we would need a cohort of patients diagnosed with nonurologic causes to really determine the true effect of silent ureteral stones on renal function.
机译:致编辑:肾功能无症状输尿管结石的自然病史令人着迷。本研究有助于了解无声输尿管结石伴肾积水的自然史。在这项研究中,有506例中有27例(5.3%)符合无声输尿管结石的标准,但是只有9例(1.7%)患者在术前和术后进行了二巯基琥珀酸文档扫描以测量肾单位功能的改变。此外,在9例患者中,有6例(66.67%)有泌尿科疾病史,其本身可能是肾盂积水和肾功能下降的原因,而不是无声输尿管结石。因此,我们需要一群被诊断出非泌尿外科原因的患者,才能真正确定无声输尿管结石对肾功能的真正影响。

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