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上尿路结石是一种复发性疾病,随着时间的延长其复发率也显著不同,本文采用前瞻性研究方法,对301例上尿路结石患者给予不同处理后观察其复发率。材料和方法 301例患者都证明有原发结石,包括放射学检查证实有结石,排出结石及经外科手术取石。其中129例患者(男91,女38)除给予饮食及饮水指导外,不予特殊治疗,178例患者分成两组给予苄氟噻嗪或别嘌呤醇,其中24小时尿钙大于8.0 mmol/L归苄氟噻嗪组,苄氟噻嗪组90例(男66,女24),每天口服苄氟噻嘌5 mg,别嘌呤组82例(男47,女35),每天口服别嘌呤醇300mg,各组随访1～10年。如果X线片出现新的结石,排出新结石,放射学检查确定新的部位结石,或外科手术取出新的结石被认为是复发性结石。结果未治疗组与治疗组比较,未治疗组1、
Upper urinary tract stones is a recurrent disease, with the extension of time its recurrence rate is also significantly different. In this paper, a prospective study of 301 patients with upper urinary tract stones were given different treatment after the observation of the recurrence rate. Materials and Methods All 301 patients were proved to have primary stones, including radiographic evidence of stone, stone removal and surgical stone removal. Of the 129 patients (91 males and 38 females) who received no dietary and drinking instructions, 178 patients were randomized to receive either bendroflumethiazide or allopurinol, with 24-hour urine calcium greater than 8.0 mmol / L 90 patients (male 66, female 24) were treated with befluzine and befluzine, and 5 mg of befloxacin and 82 of allopurine (male 47 and female 35) were orally administered daily, and allopurinol 300 mg All patients were followed up for 1 to 10 years. If a new stone appears on the radiograph, a new stone is discharged, a new site is identified by radiological examination, or a new stone is removed surgically. This is considered a recurrent stone. Results untreated group compared with the treatment group, untreated group 1,