Tham khảo tài liệu 'guidelines on - urolithiasis', y tế - sức khoẻ, y dược phục vụ nhu cầu học tập, nghiên cứu và làm việc hiệu quả | Guidelines on Urolithiasis C. Turk chairman T. Knoll vice-chairman A. Petrik K. Sarica M. Straub C. Seitz European Association of Urology European Association of Urology 2011 TABLE OF CONTENTS PAGE 1. METHODOLOGY 7 7 7 7 7 8 8 Introduction Data identification Evidence sources Level of evidence and grade of recommendation Publication history References 2. CLASSIFICATION OF STONES 9 Stone size 9 Stone location 9 X-ray characteristics 9 Aetiology of stone formation 9 Stone composition mineralogy 10 Risk groups for stone formation 10 References 11 3. DIAGNOSIS 12 Diagnostic imaging 12 Evaluation of patients with acute flank pain 12 Evaluation of patients for whom further treatment of renal stone is planned 13 References 13 Diagnostics - metabolism-related 15 Basic analysis - non emergency stone patient 15 Analysis of stone composition 15 References 16 4. TREATMENT OF PATIENT WITH RENAL COLIC 17 Renal colic 17 Pain relief 17 Prevention of recurrent episodes of renal colic 17 Recommendations for pain relief during renal colic 18 References 18 Management of sepsis in the obstructed kidney 19 Decompression 19 Further measures 20 References 20 5. STONE RELIEF 21 Observation of ureteral stones 21 Stone-passage rates 21 Observation of kidney stones 21 Medical expulsive therapy MET 21 Choice of medical agent 22 Alpha-blockers 22 Calcium-channel blockers 22 Corticosteroids 22 Factors affecting success of MET Tamsulosin 22 Stone size 22 Stone location 22 MET after ESWL 23 MET after ureteroscopy 23 Duration of MET treatment 23 MET in the paediatric population 23 References 23 Chemolytic dissolution of stones 25 Percutaneous irrigation chemolysis 25 Oral Chemolysis 26 2 UPDATE MARCH 2011 References 26 ESWL .
