尿路結石症診療ガイドライン　第3版

出版社： 医学図書出版
著者：
発行日： 2023-08-30
分野： 臨床医学：外科  >  泌尿器科学
ISBN： 9784865175431
電子書籍版： 2023-08-30 （第3版）
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日本泌尿器科学会、日本尿路結石症学会、日本泌尿器内視鏡・ロボティクス学会の3学会で編集された、尿路結石症診療ガイドライン第３版！
10年ぶりの大幅改訂！！
リアルワールドでの尿路結石症の診断・治療に関わる全ての医療従事者の必携書。

目次

  • はじめに
    　1　尿路結石症診療ガイドライン改訂の背景と目的
    　2　尿路結石症診療ガイドライン（第 3 版）の使用方法
    　3　手術用語の略称について
    　4　診療アルゴリズム
    　5　クリニカルクエスチョンの推奨と解説
    　6　クリニカルクエスチョンと推奨文
    　7　重要用語の定義
    　8　略語一覧

    第1章　尿路結石症診療ガイドライン（第 3 版）のスコープ，作成組織と作成経過
    　1　スコープ
    　2　作成組織
    　3　作成経過
    　4　クリニカルクエスチョンと診療アルゴリズム
    　5　システマティックレビューと推奨作成
    　6　尿路結石症診療ガイドライン（第 3 版）の公開と普及

    第2章　尿路結石症の疫学
    　1　はじめに
    　2　これまでの全国疫学調査の概要
    　3　世界的な疫学的動向
    　4　全国疫学調査の将来的展望
    　5　おわりに

    第3章　尿路結石の診断と保存的治療
    　アルゴリズム 1：初期評価～治療まで
    　CQ1：尿路結石による閉塞性腎盂腎炎患者に対して，積極的治療
    　　　（腎瘻造設や尿管ステント留置）を行うことは，保存的治療と比較して，推奨されるか？
    　CQ2：自然排出が期待できる上部尿路結石を有する患者に対して，一定期間，保存的治療
    　　　（経過観察や排石促進療法）を行うことは，積極的治療（結石除去）と比較して，
    　　　　推奨されるか？
    　CQ3：尿管結石を有する患者に対して，結石の排出促進を目的として，
    　　　　薬物（α1 受容体遮断薬，抗コリン薬，カルシウム拮抗薬，ウラジロガシエキス，
    　　　　漢方製剤）の投与は，非投与例と比較して，推奨されるか？
    　関連事項の解説
    　　1　問診・理学所見と臨床検査
    　　2　画像診断
    　　3　疼痛緩和と medical expulsive therapy
    　　4　閉塞性腎盂腎炎
    　　5　高齢者や長期臥床患者に対する初期評価と保存的治療
    　　6　妊婦や小児に対する初期評価と保存的治療

    第4章　尿路結石の積極的治療
    　アルゴリズム 2：尿管結石除去に対する治療方針
    　アルゴリズム 3：腎結石除去に対する治療方針
    　CQ4：尿管結石（10㎜未満）を有する患者に対して，TUL/URS を行うことは，
    　　　　ESWL と比較して，推奨されるか？
    　CQ5：腎結石（20㎜以上）を有する患者に対して，ECIRS/TAP を行うことは，
    　　　　PNL/PCNL（単独），f-TUL/URS（単独）や ESWL と比較して，推奨されるか？
    　CQ6：無症候性のサンゴ状結石を有する患者に対して，経過観察することは，
    　　　　積極的治療（結石除去療法）と比較して，推奨されるか？
    　CQ7：サンゴ状結石を有する患者に対して，ECIRS/TAP を行うことは，
    　　　　PNL/PCNL 単独治療と比較して，推奨されるか？
    　CQ8：腎結石（10㎜以上，20㎜未満）を有する患者に対して，f-TUL/URS を行うことは，
    　　　　ECIRS/TAP，PNL/PCNL や ESWL と比較して，推奨されるか？
    　CQ9：抗血栓療法中の上部尿路結石を有する患者に対して，抗血栓薬を継続して
    　　　　TUL/URS を行うことは，抗血栓薬を中止して TUL/URS を行うことと比較して，
    　　　　推奨されるか？
    　関連事項の解説
    　　1　手術用語の解説
    　　2　体外衝撃波砕石術（ESWL）
    　　3　経尿道的腎尿管砕石術（TUL/URS）
    　　4　経皮的腎尿管砕石術（PNL/PCNL）
    　　5　内視鏡併用腎内手術（ECIRS/TAP）
    　　6　下部尿路結石に対する積極的治療
    　　7　妊婦や小児に対する積極的治療
    　　8　特殊な症例に対する積極的治療
    　　9　導入が予想される新規積極的治療
    　　10　積極的治療を行わない腎・尿管結石の考え方

    第5章　尿路結石症の再発予防
    　アルゴリズム 4：尿路結石症の再発予防
    　アルゴリズム 5：シュウ酸カルシウム結石に対する再発予防
    　アルゴリズム 6：リン酸カルシウム結石に対する再発予防
    　アルゴリズム 7：尿酸結石に対する再発予防
    　アルゴリズム 8：感染結石に対する再発予防
    　アルゴリズム 9：シスチン結石に対する再発予防
    　CQ10：尿化学検査値異常を有するシュウ酸カルシウム結石患者に対して，種々の薬物療法
    　　　　（サイアザイド，クエン酸製剤，尿酸生成抑制薬，マグネシウム製剤）を行うことは，
    　　　　非投薬例と比較して，シュウ酸カルシウム結石の再発予防に推奨されるか？
    　CQ11：尿路結石再発の低リスク患者および高リスク患者に対して，24 時間蓄尿あるいは
    　　　　随時尿による尿化学検査を行うことは，非実施例と比較して，
    　　　　尿路結石の原因追及や再発予防に推奨されるか？
    　CQ12：生活習慣病やメタボリックシンドローム（糖尿病，高血圧や脂質異常症など）を
    　　　　有する尿路結石症患者に対して，合併する疾患の治療を行うことは，
    　　　　非治療例と比較して，結石再発率の低下のために推奨されるか？
    　関連事項の解説
    　　1　再発予防のための臨床検査
    　　2　再発予防のための経過観察法
    　　3　再発予防のための生活指導
    　　4　再発予防のための薬物療法

    第6章　尿路結石症に関する補完項目
    　関連事項の解説
    　　1　AUA と EAU のガイドラインとの比較
    　　2　遺伝子検査と遺伝カウンセリング
    　　3　薬剤が関与する尿路結石
    　　4　尿路結石の発生や治療に関する基礎研究の現況
    　　5　尿路結石症と医療経済評価
    　　6　食品中の結石関連物質の含有量

    附表
    　食品中のシュウ酸，およびプリン体の含有量

    WEB 資料一覧

この書籍の参考文献

参考文献のリンクは、リンク先の都合等により正しく表示されない場合がありますので、あらかじめご了承下さい。

本参考文献は電子書籍掲載内容を元にしております。

第2章 尿路結石症の疫学

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第3章 尿路結石の診断と保存的治療

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第4章 尿路結石の積極的治療

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第5章 尿路結石症の再発予防

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第6章 尿路結石症に関する補完項目

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