ADJUNCTIVE CHEMOTHERAPY OF INFECTION-INDUCED STAGHORN CALCULI

被引:54
作者
GRIFFITH, DP
MOSKOWITZ, PA
CARLTON, CE
机构
[1] BAYLOR UNIV,COLL MED,DIV UROL,HOUSTON,TX 77025
[2] BAYLOR UNIV,COLL MED,ROY & LILLIE CULLEN DEPT UROL RES,J SAYLES LEACH LAB,HOUSTON,TX 77025
[3] VET ADM HOSP,UROL SERV,HOUSTON,TX 77211
关键词
D O I
10.1016/S0022-5347(17)56964-5
中图分类号
R5 [内科学]; R69 [泌尿科学(泌尿生殖系疾病)];
学科分类号
1002 ; 100201 ;
摘要
Bacteria induce urinary crystallization of struvite and carbonate-apatite as a by-product of ureolysis by urease. Eradication of infection and/or inhibition of urease with acetohydroxamic acid for 5 to 30 months retarded stone growth and brought about partial or complete dissolution of stones in 9 patients. Long-term chemotherapy with antimicrobial agents that achieve sterile urine or acetohydroxamic acid in those patients with recalcitrant infection lessens the risk of recurrent calculogenesis.
引用
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页码:711 / 715
页数:5
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