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尿酸结石在肾结石中占16.83%,常发生于先天性或后天性高尿酸的患者.原发性痛风一直被认为国人发病率很低,其合并的尿酸结石又为X线阴性结石,故尿酸结石常被忽略或误诊而延误治疗.近年来国内由于膳食变化,原发性痛风明显增多.因而尿酸结石也是屡见不鲜.我们自1987年~1992年采用综合非手术疗法治疗尿酸结石8例,报告如下.1 临床资料本组8例中男6例,女2例.年龄42~65岁,平均年龄52岁.6例门诊治疗.2例住院治疗、8例均有痛风史,2例有排石史.5例经肾B超检查见肾盂结石影像,X线平片未见阳性结石阴影,静脉肾盂造影发现肾盂充盈缺损和肾CT检查有紧盂或肾阳性结石
Uric acid stones in kidney stones accounted for 16.83%, often occurs in patients with congenital or acquired hyperuricemia. Primary gout has been considered a very low incidence of people, their combined uric acid stones and X-ray negative stones, uric acid Often overlooked or misdiagnosed stones and delayed treatment.In recent years due to dietary changes in the country, significantly increased primary gout.So uric acid stones are also common.From 1987 to 1992, we used a comprehensive non-surgical treatment of uric acid stones in 8 cases, the report is as follows .1 Clinical data The group of 8 males in 6 cases, 2 females .Age 42 to 65 years old, average age 52 years old .6 cases of outpatient treatment .2 cases of hospitalization, 8 cases were history of gout, 2 patients with row of stone History of renal biopsy in 5 cases showed renal pelvis imaging, X-ray showed no positive shadow of lithiasis, intravenous pyelography found pyelium filling defects and renal CT examination of a celiac or kidney-positive stones