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Stones in 2010: Urinary tract stone disease-has therapy advanced?

机译:2010年结石:泌尿系结石疾病-治疗是否已经进行?

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The optimal care of patients with urinary tract stone disease has been recognized to comprise both active removal of stones and methods aimed at preventing stone recurrences. Undoubtedly, minimally-invasive or noninvasive procedures-extracorporeal Shockwave lithotripsy (SWL), percutaneous nephrolithotomy and ureteroscopy-have replaced open surgery during the past decades as a treatment for urinary tract stone disease. Despite the obvious benefits of a noninvasive therapeutic approach, the debate on when to choose one or the other of the methods mentioned above continues. In terms of recurrence prevention, patients are most certainly treated in a very heterogeneous manner. Few urologists have a full insight into the various mechanisms that underlie urinary tract stone formation and how best to counteract stone formation.
机译:泌尿系结石患者的最佳护理已被认为包括主动清除结石和旨在预防结石复发的方法。毫无疑问,在过去的几十年中,微创或无创手术-体外冲击波碎石术(SWL),经皮肾镜取石术和输尿管镜术已取代开放手术来治疗尿路结石病。尽管无创治疗方法具有明显的好处,但关于何时选择上述一种或另一种方法的争论仍在继续。在预防复发方面,最肯定可以以非常不同的方式对患者进行治疗。泌尿科医师很少深入了解尿路结石形成的各种机制以及如何最好地抵抗结石的形成。

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