小结
定义
病史和体格检查
关键诊断因素
- 存在的危险因素
其他诊断因素
- 既往肾结石
- 腰部疼痛
- 血尿
- 肋脊角压痛
- 排尿困难
- 尿急
- 排尿次数增加
- 腹股沟痛
危险因素
- 偏身肥大
- Beckwith-Wiedemann综合征
- 克罗恩氏病
- 先天性肝纤维化
- Ehlers-Danlos综合征
- 多囊肾家族史
- 慢性肾病
- 高钙尿症
- 女性
- 甲状旁腺功能亢进症
诊断性检查
首要检查
- 尿液分析
- 尿液培养
- 尿素和肌酐
- 血清电解质
- 腹部放射摄影术
- 肾脏超声
- 静脉尿路造影
- CT平扫
- CT 尿路造影
需考虑的检查
- 24 小时尿液监测
- 结石分析
治疗流程
伴有泌尿道感染（UTI）
伴肾结石
撰稿人
作者
Michael J. Choi, MD
Associate Professor of Medicine
Clinical Director of Nephrology
Johns Hopkins University School of Medicine
Baltimore
MD
利益声明
MJC declares that he has no competing interests.
David S. Goldfarb, MD
Clinical Chief
Division of Nephrology
New York University School of Medicine
New York VA Medical Center
New York
NY
利益声明
DSG is an author of several references cited in this topic.
鸣谢
Dr Michael J. Choi and Dr David S. Goldfarb would like to gratefully acknowledge Dr Amaka Edeani, a previous contributor to this topic.
利益声明
AE declares that she has no competing interests.
同行评议者
Khashayar Sakhaee, MD
Internal Medicine Physician
UT Southwestern Medical Center
Dallas
TX
利益声明
KS declares that he has no competing interests.
Eric N. Taylor, MD, MSc
Assistant Professor of Medicine
Harvard Medical School
Renal Division
Brigham and Women's Hospital
Channing Laboratory
Boston
MA
利益声明
ENT declares that he has no competing interests.
鉴别诊断
- 远端肾小管酸中毒
- 肾乳头坏死
- 肾结核
更多 鉴别诊断指南
- 尿路结石指南
- 尿路结石的临床指南
更多 指南患者教育信息
肾结石
更多 患者教育信息
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