Update for the management of kidney stones in 2013. Stone group comity of the French association of Urology

被引：23

作者：

Carpentier, X. ^{[1
]}

Meria, P. ^{[2
]}

Bensalah, K. ^{[3
]}

Chabannes, E. ^{[4
]}

Estrade, V. ^{[5
]}

Denis, E. ^{[6
]}

Yonneau, L. ^{[7
]}

Mozer, P. ^{[8
]}

Hadjadj, H.

Hoznek, A. ^{[9
]}

Traxer, O. ^{[10
]}

机构：

[1] Hop Archet 2, Serv Urol, F-06002 Nice 1, France

[2] CHU St Louis, F-75010 Paris, France

[3] CHU Rennes, F-35203 Rennes, France

[4] CHU Besancon, F-25030 Besancon, France

[5] CHR Angouleme, F-16000 Angouleme, France

[6] CHU Lyon Sud, F-69004 Lyon, France

[7] Hop Foch, F-92150 Suresnes, France

[8] CHU Pitie Salpetriere, F-75013 Paris, France

[9] CHU Mondor, F-94010 Creteil, France

[10] CHU Tenon, F-75020 Paris, France

来源：

PROGRES EN UROLOGIE | 2014年 / 24卷 / 05期

关键词：

Stone; Kidney; Endoscopy; Treatment; Urine; Guidlines; SHOCK-WAVE LITHOTRIPSY; HOLMIUM-YAG LASER; UPPER URINARY-TRACT; PERCUTANEOUS NEPHROLITHOTOMY; FLEXIBLE URETEROSCOPY; RANDOMIZED-TRIAL; URETERAL STONES; RENAL-CALCULI; RESIDUAL FRAGMENTS; INTRARENAL SURGERY;

D O I：

10.1016/j.purol.2013.09.029

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：

Since the publication of the latest recommendations of the Lithiasis Comity of the French Association of Urology (CLAFU) on the management of ureteral and renal stones, practices have evolved. This text provides an update for the treatment of kidney stones. It is especially the important advances in the field of laser-ureterorenoscopy that changed practices. Percutaneous nephrolithotomy has been enriched by technical modifications and extracorporeal shockwave lithotripsy confirmed its predominant place in the first line of treatment. For stones less than 20 mm, extracorporeal lithotripsy remains the standard, but in some cases the possibility of recommending a flexible ureterorenoscopy is possible in first line. For stones more than 20 mm, percutaneous nephrolithotomy is the standard treatment, but optional flexible ureteroscopy and extracorporeal lithotripsy are possible. The treatment carried out, collect the stone fragments for a morpho-constitutional analysis and achieve a metabolic evaluation is necessary, to investigate etiologic and give dietary advices to prevent recurrence. (C) 2013 Elsevier Masson SAS. All rights reserved.

引用

页码：319 / 326

页数：8

共 82 条

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