结石

Methods 56 patients with complicated renal calculi were investigated retrospectively, including 43 cases with unilateral calculi, 13 cases with bilateral calculi, 48 cases with staghorn calculi,18 cases with pyonephrosis. The longitudinal size of calculi was 5-8 cm.

对接受经皮肾镜气压弹道超声碎石术的56例复杂性肾结石患者的资料进行回顾性分析，其中单侧结石 43例，双侧结石13 例，鹿角形结石 48例，合并脓肾18例，合并肾积水11例，结石长径5～8 cm。

Percent of infected dogs were feed mainly with duck and chick livers or other animals viscus or muscle, which contained a large number of protein and ions with singular nutrition.

治疗以药物排石和手术为主，改变结石形成、生长的环境，通过药物对较大的结晶体颗粒溶解，多饮水或用速尿等促进结石随尿液排出；膀胱结石、尿道结石多采用手术取石法，但存在复发率高的缺点。

The present study was designed to elucidate the role of apoE polymorphism in the lithogenesis of cholecystolithiasis and to explore the hereditary pathogenesis of the disease. Polymerase Chain Reaction was used as researching apoE phenotypes and allele frequencies in patients with gallstones (n=87) and in controls (n=50), and the fasting serum lipids of subjects were also measured.

为从分子遗传学水平探讨胆囊结石病的发病机理，采用聚合酶链反应等方法研究了87例胆囊结石患者和50例非结石者的apoE基因表型及等位基因频率，并分析了不同apoE基因表型的胆囊结石患者的血脂质代谢特征。

The results suggest that the average level of serum lipids in the same apoE phenotype patients with gallstones is higher than that in controls, and the different apoE phenotypes patients with gallstones have different characteristics of dyslipidemia.ε2 allele is probably one of the dangerous factor in the lithogenesis of cholecystolithiasis.

由此表明：同一apoE基因表型胆囊结石患者的血脂质变化比非结石者突出，不同apoE基因表型的胆囊结石患者有不同的血脂变化特征，ε2等位基因可能是国人胆囊结石病的一个高危易患因子。

In this artical, the author reported a newly designed and manufactured extracorporeal shock wave lithotriptor, Its structure, function and clinical application were described, This is a kind of spark light dischange lithotrip-tot and may be employed without anesthesia and without immersion of pa-tients into the water, The electrodes can be used for a long period, First 30 patients of upper urolithiasis were healed with good results: stones all broken, no local subcutaneous ecchymosis, no uncomfortable feeli...

报道作者研制的体外震波碎石机的结构、性能和临床应用初步情况。该台碎石机属电极放电类型，但免除了水槽，电极寿命长，病人不用麻醉。临床首批治疗30例上尿路结石，结石均被粉碎，病员无痛苦不适，局部皮肤无灼伤、瘀血点，未见心电图异常改变，治疗后半小时至24小时开始排石。短期随访，12例于3天～30天内排尽结石，15例在继续排石中，3例肾盏结石排石量较少。取得了较满意的疗效。

Results Ureteral calculuses were showed as high density image in CT scanning.The CT values of the ureteral calculuses less than 7.5mm in diameter were beyond 83HU.The detection rate by CT was 96.3%.In all the 82 cases,ureteral with calculuses were found dilated and 69 cases with nephrohydrosis.

结果 输尿管膀胱入口处结石具有特征性的CT表现，即圆形或枣核状钙化高密度影，结石直径＜7.5mm，CT值≥83HU，CT确诊率96.3%。82例均发现病侧输尿管增粗，69例发现病侧肾盂少量积水，肾盂未见积水的输尿管膀胱入口处结石13例，其结石直径＜3.8mm。

The CT values of the ureteral calculuses less than 7.5mm in diameter were beyond 83HU.The detection rate by CT was 96.3%.In all the 82 cases,ureteral with calculuses were found dilated and 69 cases with nephrohydrosis.In 13 cases with no nephrohydrosis,caculuses less than 3.8 mm in diameter were found.

结果 输尿管膀胱入口处结石具有特征性的CT表现，即圆形或枣核状钙化高密度影，结石直径＜7.5mm，CT值≥83HU，CT确诊率96.3%。82例均发现病侧输尿管增粗，69例发现病侧肾盂少量积水，肾盂未见积水的输尿管膀胱入口处结石13例，其结石直径＜3.8mm。

Results Out of the4527paˉtients treated by ESWL,stones were excreted completely from4512patients within2weeks;12patients who had comˉplication of the urethra stone street were cured by transcutaneous nephrocentesis,nephrostomy and ureterolithotomy through uretercystoscope;stones weretaken out by operation from the other3patients,from whom the excretion of stones was not possible.

目的 探讨ESWL治疗泌尿系结石的效果。方法回顾性分析经ESWL治疗的4527例泌尿系结石病人。结果经ESWL治疗的4527例泌尿系结石病人中，4512例在2周内排尽结石，12例并发输尿管&石街&，加用经皮肾穿刺造瘘和输尿管镜取石治疗，3例中转手术治疗。

Results According to the characteristic changs of ureterolithiasis, the detection rates were about 75.0%(9/l2) in the upper or middle segment and about 84.6%(11/13) in lower segment and 100%(17/17) in terminal segment.

结果 根据输尿管结石的特征性表现，超声对输尿管中上段结石的检出率约75.0%（9/12），下段结石的检出率约84.6%（11/13），末端结石的检出率100%（17/17）。

Ureteroscopy was applied to treat 1200 cases which incelluded ureteral stones in 1010 cases (146 cases in upper, 344 cases in middle. 520 cases in lower),ureteral strictures in 18 ureteral double catheter stagnation in 38, urethral stricture in 38, bladder calculi in 41, pelvis calculi in 8, ureterovaginal fistula in 5 and others.

其中行输尿管镜治疗者1200例，包括输尿管结石1010例，其中上段结石146例、中段344例、下段520例；输尿管狭窄18例；医源性双J管滞留38例；男性尿道狭窄38例；膀胱尿道结石41例；肾盂结石8例；输尿管阴道漏5例；小儿逆行输尿管插管20例；内支架管置入22例。

The split between the two groups can hardly be papered over.

这两个团体间的分歧难以掩饰。

This approach not only encourages a greater number of responses, but minimizes the likelihood of stale groupthink.

这种做法不仅鼓励了更多的反应，而且减少跟风的可能性。