尿路结石症と临床检查aurolithiasis-relatedclinicallaboratory.pdfVIP

A urolithiasis-related clinical laboratory investigation Satoshi Yamaguchi Urolithiasis is frequently experienced as an emergency case in an out patient urological clinic. The main symptom is severe back, flank, and lower abdominal pain with hematuria. It can sometimes leads to a serious urinary tract infection. Consequently, the initial diagnosis and primary care are extremely important. On the other hand, urinary stone diseases have a high rate of recurrence. It is well known that many metabolic diseases, such as gout, hyperuricemia, and calcium metabolism disorder are strongly associated with urolithiasis. An elucidation of calculus diathesis is essential after stone removal. In the Japanese clinical guidelines for urinary stone treatment, blood tests (such as a complete blood cell count), C-reactive protein, blood chemistry data, and parathyroid hormone are indicated for an evaluation of urinary stones. Stone-component analysis and urinalysis are also important. A 24-hour urine collection is very useful for patients with recurrent stone episodes. Since urolithiasis is a multi-factorial disease, we have to evaluate these data comprehensively. The refore, a clinical laboratory investigation is mandatory for the proper diagnosis, treatment, and prevention of any recurrence of urinary stone disease. Urolithiasis, Blood chemistry, Urinalysis, 24-hour urine collection, Stone recurrence