代谢评估在泌尿系结石诊治中的应用

Progress of metabolic evaluation for urinary stone patients

泌尿系结石为泌尿外科的常见病之一,其5年复发率高达50%。系统性地治疗泌尿系结石,除了通过药物或手术治疗清除结石,全面地评估患者有无代谢异常也是必不可少的。结石患者的代谢评估主要包括结石成分分析,血生化检查以及24h尿液成分分析。本文拟结合最新的泌尿系结石诊治指南,分析代谢评估在泌尿系结石诊治中的作用及其进展。

Urolithiasis is one of the most common urinary tract diseases in human.After a first stone,the risk of five-year recurrence is nearly 50%.In addition to removal of stones,patients with urolithiasis should have a metabolic evaluation,consisting of stone composition analysis,standard serum chemistries,and 24-hour urine analysis.This article reviewed the role and progress of metabolic evaluation in the management of urolithiasis based on the latest guidelines on urolithiasis.