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RISK FACTORS OF UPPEB URINARY TRACT STONES

IN KOHNKAEN PROVINCE

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Thesis Title

Name

Degree

Thesis Supervisory Committee

Phaitun

Risk Factors of Upper urinary trEct stone

in Kohnkaen Province

Arunrat Wanapong

Master of Science ( Epidemiology )

. Samkaew

Golaseni M.D..F.R.C.S.

Wanvarie M.D.

Date of Graduation

Chaweewon Boonshuyar

Thara viriyapanich

7 November B.E. 2539 (19961

B.Ed.,M.S.(1 $Hons),M.S.p.H.

B.Sc(Pharm). M.S. (n utritionl

Abstract

This retrospective casscontrol study was aimed to compare risk factors

of upper urinary tract stone in Kohnkaen province. Cases(210 samples) were the

patients of upper urinary tract stone in Kohnkaen hospital. Controls(2lO samples)

were the patients in the same hospital and people in community of Kohnkaen

province who were without urinary tract stone and without other urinary tract

disease. The ditas were collected by one of interviewer during July to Desember

,1995.

The results by muftiariate analysis showed that the factors of family

history , high purine diet , prolong hot occupation ,water intake lower than 2000

ml./ day and high oxalate diet were associated signifficance to upper urinary

tract stone disease ( p< 0.0b l , and showed that the most important factor ,

family history when other factors were controlled had the highest probability of

41.09 9o. lf the factors of high purine diet ,prolong hot occupation ,water intake

lower than 2000 ml./ day and high oxalate diet were individuaily input, the

probabilities increased to 71.10 To,6.4ZVo, 92.90 % and g6.09 7o respectivety.Copyright by Mahidol University

li

.:.

This thesis showed that the genesis of upper urinary tract stone

was related to pattern of life style , the dietary habit and occupation . Health

education to decrease or avoid these risk faitors were some excellent methods

to prevent and control the upper urinary tract stone disease .


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- qru'arnrnhu ( hot crimate )Copyright by Mahidol University

3.

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rfiuflnc{r'rvluuqjrgrfi'lnfffin finmrudrur{ufriunmrflulrufi,,ro*^6utlns{,]rvdruruuintluJ

{nqrjrualn'raln,rfi{il

rdofr nurdrflq{fl desmrntetflubniir*n ruynt rduflas{mydruuu lfiuri

t. flq{flnrfluon rdu ardn grnrnrna*gfin n.rdurh nrruFtnnarurr

2.flq{Emrstu rdu ntr6urlcsfi.rslrndda.luouu,1u"l :ls{finml6u:lnedc fl trnfi 'rvt'tr rfiuila ar.rvtuuqi rg,r fi 1n dfi n

g{ililfi5'rurornrri{n

t.rJs{flnreuan !

t . t nrnl*naua rdnludnnrr u{r un;ar nrnhurfl urjrs{,r rd g.rrio nrnfl ulenr

fi 'r rsurmrl 6u:llna r.r ss{auuu

1 .2 6R111 trlrugfi rdr rdfl srianttflulrniimnuyrrsfiufleera;d'ruuu

r .s n.rduti.rios rdfl.:risntrflulrnrfim;uunr6uflairc;d.luuu

1 .4 nrefu :Jrvnruotarrfr-eiuq.r rdarria ntrflulrnfi.rrv:.runrl6ufl 66,lry

d'luuu

t .s nrtfu rJ etfl rrla 1lr1?unn rdar 6r rds{ria nmrfl utmfimartyrrs 6u:Jnn rcvg{.Juuu


I,

1.6 n1tfiJ:lt:nnluoluraonflmn{.:darsionrerflulraficma.runrunûflanrcys{.Juuu

t.z.nthljrvvrrufrT'rrufiElqtfludldrrdes0ianmdulrnfi.rffruunrsrfiu:JnnrJydauuu

z. r1q{enralu

z.t nrar{urhsdi'lflIandfiauouu'tullnslrirndouluefirnrfl rdtNriantrflutanda

agr.ruyr t rfiurJn dtt ;druuu

z: nT rfi:las{nr{urlesdefllendevrrufiuflnnT ertuu{rgT fitnffin rds.rrionterflutenfi.rI

r:ruunT .l rfi r.rfl&dracs{euuu

II

d"rurjrril{lunrrA{g

t. drurjeo'ns 6a

t.t flq{snrfluon lfiurl

- nrnjrsnauardnl#arnrnhu rdfl rudailrn

- nntrrnn*gfindrJf,s

- n1?nilu1uoEt

- nr afi ll syrruarur rfi fru6.r

- - nrafi.nJ*m1T"nrr1?unnrdar6.r

- nmfi.nJrwruarursAo nr1 m nN

- nT efi nj*;vrrufir'r Mfl e'r rfl urjr,{rt.z. flqftmrslu tduri

- nm{urheft sbndfro.ruouuru$nehimdaulu'Jfi{nrEl

- nT rfi:Jsinr{urlcfl deslrndxvn.rrdr"rfls{nrertwaqirgrfitnfiin

z. sTcurlanril do

Irnii.J ralunrs rfir.rfl ns{r'r;g{rrruu

g. d'rurJraruqru 6a

- nrynrds'Jftr

- d.rmrfrr,irlriuhirfiu s flCopyright by Mahidol University

6.

A'noutnnno{n1flqs

nrafinrvli{ertunF.rd r!.rflntnuonraTn{eriTqv'rffiftnruuagTu1{ unyfints'rray{1y,v'JdJ

n{u d'ro tir$iifi oqjor duo qj'[uft u{nmuuriu fi umua.lilffoq n'ludc.:enr.jrs dounrngr nrn

fu rr'oufi'uornil n.fi . 2b3B

fia,r"rflnqa.:nrr6{ri

- -L-e--.-:,-/-.-t--&.4.2- :^-y-q-.,C--- - 4 r d d ad1. n1?ftntrleqfln?{u ilflas1nn tutto{ tvflvtxnlnltflnvluny{tuilrvrutru 4lrdqnaE

n1?frnmulu1 casecontrol study unvr6ondnmrav{lyturrmdud{lra{nqouuriuwirriu 6.rfi

n mu,i r finlun r rurtl dr.r o1 riu rr nduddul

z. lunr*6anns!iln?ilqrJ lfratnnraifiqdeil,trirffiua1( ptain rug u?a vp ra?o

Ultrasound t 'irlrirflutenficrvuuvt't.r6uflnamv rflurnzucilunT ed'orrdon udrde.rqrntri

d1il''ttnulnriruncuqr.rtutt{neT urntfrnreu6stfr{rud'rodrsrdanqlnilastrrutuqurutros

{lu{'rrtouuriudfiruanrriflqdunNf{Aamfl1 ( uttrasound ) fl zsge .ir1rirflulenfi,rrr,u,unr.:ufiu

flnc{rrv mtlnarnredurarunv:ir:inrlrniiclortuqilru lorenruyry{ilflrtl6afi.nariyrsrd'flrou

uriu drrurflunriruneu4rulunT afr nmnFof,

s, ..nnr#finrir.rdhoeiT.:dluawJln ( 420 r'le l roilfi{nnril,{rrYorlurda.rffflyrenl

unssilruurru 6s rdanntnlavrfiurlhr.*u.r.rdfir'rlffivrrud.read semi - quantitative food

frequency dlr{rd:le;fiulfrarqdrn'irn.r'lurfluq?r trdorqrnlrinruran{rril?r.nruoruttd

nmfiruqntfiodfutJe"nru t uEifr rfl ui#ruurvnrudrufu pJuuu:ro.:nrafi nvri{slunfrd

#annn.rru%.roiu

1 . {aq n rd ur rfulr q fi nrru nrefi::Jrnnruatamua sflq{fl rdes oirq tdqrnnrr

m.Jrill{qrrfrunr:*nfqrn druo nrcirsor{:Jru tmsrfiunredhrfri.rr{uonrn nmu ufl ufiuror

lnrn,r'jrrfrrlruunrfrfrunT unf d'.:riuffoq^dtd6o{t uqjrfun,rr'[fifiaqn:rar{:-1eu

2. nr!runreuqr.rqnflElfia'jr urnrvrtilfrneeqifiqdaufie.j{rirfluTanfi.r?ruunrsfiu

flnnrev Copyright by Mahidol University

7,

oAt.aandrfi e r rr dn ?in-'lfftun r f {e

rlq{flrder t nist Factors } uilrufi{ ord:}vnoudfiaoGr*uAuntrfinlrn u?ndl

nar{urianmfintrnr

Tanfinr;uunrudutJrtrtre;c{.luuu ( Upper Urinary Tract Stone ) uilrfldr lrerijrJ^ { Cn 4 r nflmnfluvttDr l4tovra $l

I

oT fin tunrrdnmd urimrdlroanrflu z dnr*nry da

t ordrrdl{uflr{'u nnsfir rnnninun;rarinrrn: tfiuri fir{r.r dmre

rnHntnt fiNrulutx.rru

ardntflfrun{ru umufi{ {lurulunvmu:Jtunar.r tfiuri {rJfrri6.rru1u

ryuufrrntnt ftiarufin uftfrrantuuayruiriru

ntritrunnru{r hdarnrahu lunmdntndurisaanrflu z dnuzu; fia

nrnittunnrlu&tudarnrrtfnu rflurlru,{r raurefir nrnlrvnouarfln d

frournuorn o.rn1filhu urnn'ir g {u dodrlnrf

nredtrunnr.:u{.r1#a'rnldfnu rfluur.rni.r railrflfir nrnjesnauardn t ,

dfioor.n*n a1n1fifau fiasn'iru?aryirrTu s 6u Fiodilnrf

ntdlrlrtiae uu1flfir nmdilrlT hs#e fiaE n'i1 2,000 ru'n66nr/ d'u

fndu'aanllmnq{t railrefis r[nrir.r1 dsr?tuuilf,euu3lnnunvrfluflndrfinra.r

onruotrutrfi rdu finunm linhilriae trrulrar$ xyng lailrail ddu uou lufiu

dr:Jvud.: finuse.: rniotli rnr

orurrf;'riuq.r uursfi r nrru3tnnota'rnlas4T fudtfiorure4,rncndu'fi ofu,flr.

arno:lrrno:.rg 16uri r#artufrqd rdufrr{ui.o1 o,ll,r,lrnym rTeeirrl rnr

arureunnrdorql uilrefir nrru?lnnarurnlrv{riudldarurdrn.lndfi

unnrdsilrfluo':d:Jr;nouq.: lfiud :Jnru?nfirfi'rr6n1 r.nr hi rnr


8.

nrfl{urJrfldrfltrndfra{uauu''ru'l umefi{ n1er6u:i.rfldff:hefio,ruaud.roqjlaerl

torfltrildmdaulr,r.re,r.:ntsrflunnruru ( orqrflurrr*aura?ar,lnrElrdou t amrflu{:Jcflddra,il6od'cro'lki16'qT nTrnrirsl rdu tfrii.rurnr{uyiaruo.ru?nttfruud.r urerr6uu?r.rrunrqnrfi.rneru

1n'1

:lrvdFr{urj'ra1uu{rprfi1ndfia uilrflfis nrerirlryd6r6url'radrelanfi?ryuuyn{r

fiuflnnrevtuuqirgrfi'lnffEnrlfiuri { dr nr nre ?io ruj *{raiafiaqrawiourj liu?orja.rno.r{rJae


L

nrourlu'len!a{n1sA{g

lanfi'la:nrurnrunû

rlonrcgCquuu't

rTq{snrsuon

- nrnjrsnouardntudarnrn$au decltlr{toil1n i

- nnrnran*gQrdr

nqfi nrarunmfi.njmzrT u rdu

- nradrurhfiart

- mrfi rri ryvr ruanar rfi c?u6.r

- nmfilJnmluarllrunnrduu6s

- nmfu:Jrur41uo1u1?aom1 nn6{r

- nT ef:.r:Jewnluffrr rufl sr rfl ral rsir

riq{snrelu

- nm6udae dretrnd fio{uaunul

ln et&i mndo utueClq n,le

- nT reirls{nr{urhafirefianf,i.rvrrqhu

' flnnmstuurjrgrfilnffin


,od z

.J fl mrR fi ru un ;.rru6{sd rda'lfa r

Irnfiravuuvrr{rduils{nmv rflulrnlrifinsia ( Nco t ddrd'rgrurnrlrgurud.rtnsrqilly

dnrnow{uoontdflsruflora.nJrrvrrtlvrrid.:il'r.rnnfiilun*rfiaudarTegurd.rru rnnryfinoei'r.r

urn ( s t flnTiuleudoatun..tfiurlea'mvtdr:Jdeuu:ln.rqrnrfild.rrnunufirrounrl6u\,flaa1'rvc{.ruciri ( nrorflr:;flnarasunyy'iofl6crcy trflur{ruluqj flr1ir.nrufirnr.:6uJsqrqr,:s

s{'luilu( lnunryiotnr t rflur{ulra4j doii.r-rr,.:r6uflnn, ws{ruuuunvg{rur{rd{ounn

dl.rrfuunreoEit d'{unor.:1unrt-tod z

u.r.nd z {a umnoirrma.ir.rfi.rln unii.rlunrsrnr;flncqra; ( zo )

r. fnuutuflud

z. lri fr n c rJ drJ tr"ufriun m yd.r nu

3. fnqsrfluuff'trfludn ( high recunent rate )

t. rinnutuufin{rrearqdrn.jr ro fl

z. luqunrndttrud r;r,rutunrirurt dfig.ut

urrdsnruun;rnnryfindr

g. uft qrntdfu ntdrfror nrf,'roonud.r rinq;

lrirfludn (low rectnent rate )

trnfirtn d'ulra4jrrutun{rtfl1flillnn'lrnrnraefls un$innu1udflflrar$arq#.ruri zo

fl{uhl tgo t rfiorqrnnr#fifiouihdrrnrlulnunvvioln bnd{oroqlunrlulrnrfnir r.rrr-rt

nnrruft orrlnfi daud'roqjtu{:Jrrurunas{ilnr? :aqun.jlnsrGnnmluunu.nnod.ruen,{toan

u''t lerslrnfirtulortflurufinrunsa{n'r1xfin:JnEnr!*rtuqjndrurad.r d'.:riunrrauunyrir{rrijr6.r

tr.rld#usrau4orfrrutotnminun ,r,r.ri.fit nrnrfin#rldluri'srrdqo ( 8,20 ) firhitfifirnref,myrntuqu?nhilfi aerfl q{ardnttunr[ufrfi 'u1ilfi nrru4fonu


11.

nrtrfi nadn unai"r t zz ) tnedhtlHnnmvnou.rr4mirflilc{1myn1tr rfi .r{aurlesnau

firfld'cdrt ( solute ) rit.rpnrurt rrmoir.rltunrlr.rm6ou#nynrerluflnnrwnvoqlugrJrlrvl

rdu urrnrdelu donw{ar oonf,lmn uoulr.rrfleil rflufru :Jrvlrurirdoqjtun,rc#rien'htnmv6'ld'rE{s'tot ( supersaturation ) t:Jru1sv{udliuunyr{nrurqurfluru6n gju 16n

unrntdtliloon'illmn unnrq'flullodtdn dolt'furaudr?fln"ir r crystal nucleation / nrni

drudnrfinrqT nc{'lflJevnaudElr ( homogenous nucteation ) drs{ranyn1trfiarfinmr6rud'r6n'jr

ndndrfinqrnc{''lnJavnaururnn"jr t tfirr ( heterogenous nucteation u?a epitaxis} uian6nd

rfin{uaqjtun'res6ild'qadr.rfiletenflfailriufid"lfi'ril ( inhibitor } norn.ru?afid',lrn?a.r (promotor I

tuGmnu.nn{u ardnfiqnflrefrtndulnflqvfiorerfiTu.n.nda.rri.mrardn fuqaudden'ir\ crystal grovwfl " unruioardn*l'mor'lraqj{uuwrfirmoflndrir.rmrurnrrr;fiirueuilrn{r. .,rfinua.rflfndrd'oruriaHdnnas{rdrfifirerTurflunrlr.r (crystat asgregation) riarurn{unfinq;r,Jild,l

rTunnrtrtflufiauije t pJd rr dolurrururnfiaufi.rqyfimnffin riarurqyriaEltur!{urflu

r{rdututru#anrrvrir.qtirt?!il'r;dru adr.:trfirnru firnnrcyoir.:1:JdautJadruenrFr rdu

lunaur{rqar'ntrrurfruffu6'rqnrnvfiru6noirrprnruru uqr"lunnrr#flnnrcyrdaqrt fls{fi1v

.ruruo.uutild'calnaretflu unsaturated sotution atdndrfinduqC*ir{m.rurd'arorrflufiouf,rusi

qyavnr Elndu rfl u:Jr;1 raiaqnfuoo nqrnfi rnretil

,.JflJ1l

9rud Fr.:{unaufl o r n tfi nil'l

unsaturated solution supersatureted solution

tl++crystal dissolution crystal nucleation

(f Rromotors, I inhibitors)

I

J

crystal grovvth

I

+

crystal aggregation

(f oromotors, I intrititon)

(f oromotors, I inrrinitotri

Jstone formation


12.

rirfirruun;n"rrnft.r (inhibitors and promotors ) d'arirru ( inhibitors ) 6ac{r#noenrior#u lufiunautnriurrurdorronrarfiorrudnuîh dr. citrate, Magnesium , forophosphatetusil#Fyrrn?ru (promotor t donr#dsrnhrtrirfinardnuasfi? rdu uric acid

t. ?mro (critrate) rflunTdrfirgto.r citric acid cycte drrflur.rqrdr6'rgaalnrr

nh'lr^rd'ttrum'1fl{nrEjntari citrate drtu:Jnnravrfluflq{flde{goil catcium renalstone disease

( 23 ) firnrnldernorurrtuil?eJTrurioe uavfintfurireoannrrflnnraytu:Jhnruriosrdu,Tu

no1t#u'unoion,1?frunr:Jzalfimeot 6o nr.rvudanrflunrr*ur?o intraceilurar acidosis 6,rEJ

d'rrirtrifiurrn{ndunTrlru.ndu o^rqnqnfir.rndun1fl renar tuoute rfir.rdufire QLnrndrmi..rJo v e 6frtiluffcrirulorptnonrrotnardnqalrndounnrdflillnuifirad'n1 z ii tfiud firorrn{ud'rffurJev1

unrardarurflu ioruute comprex ri'rlfinrrrleylanrvrorunnrdflilluflnnlry ( za ) uayimrnfl{oanqvrf,nrinffulnEJnr.:Fianrennndnrar#runnrduiloanrlmn unyunnrdsuv{onry,ln d,.rriu

rneqrflud'rfirudoanqr,f;l6n{r.rn mrvfi arnoiofirunnrdeil d.r,flurjrdnurrnn.jrqfi^tu?1

lnflay go so.:ficf.luiln

z' ru'rnfi ra'au (Magnesium) fi nntn:loq{untrfi orfir lnsnrmud'rryuoo nlr nsrtuflnnrrv rirtinprn'Ev6'uf,rnolunatdeiloonrT rnn d'.:riu6riiuyru'rnlunrrflo.rrTufirrr-tndr.l

lfi lnflrafl1#rdrfir,srn primary hyperoxaturia sdr.r1rfi6 Mso du'fiffiinurrJ'rng"1fi^ntfi u rurg tufldar'lvlrirurnfn d"o..n Mgo gnfl ndrutfiluvrrsrfiuorurrlddrflrr r1n1riu6r.lfiw nfi rdfl ilfi ttrt unuddoq n6ru166 ndr unairtriecriu?ro{r Ms uavfi uranqrtufls{6rc v

s.tnlfl{aatrln (forophospnate)tfluglrahrnqnrdndrflud'rf,nunrasrnarfinmrunnrileil

aonllmn oonqvrf,tfifioetda$rnfiilhnrufiontuflasrmy:Jnfi Mrvaonqvrdtfidduuia:j?rurnrrurn{u d.:n'rxrmrirlfiInenrrtlrfi.l:lrnnru orthophospha re t-2 nfi1s6iu

a. neoq?n Uric acidl rfluc{rathrn'uon'fiunu.naeir.rd'nrquluntdrra?xn1?nnfi6nVl

s{rtfitfluDi'crn?ilddrdrgoionrrrfinfiaunrnrfisiloonrlmn Ineilu.irnray hyperuricosuria

nrurennev{uhirfiorn,trornl.rdnurrnrdtruoonmrnqrtfiirfldu hidrffiufia.roqitr.rnr"ry6rurTrurn

rinlnsnrdrtfirfinHdntoreii heterogenous nucteation rar{'ng,ruddrdrpfio yru"jrfirunrnrdeil

aantrmnoiru.u#.fintnrq?nrflu niaus rY.:#uflcliu6rfiadr neng?nrfludcr63ildruftr1runn rdEriloo nrrrnnunv,ir rfl uffo.rtfifu ntfnm


13.

s{'rruEla{ttrnfirln {rJrednaTrnrdil'rfierc{.rufiaElrilr#udnflu6lruEunyinmtfr

uoidcu1ur$nu"i{riu'nTruqdd'r,rnu lnsd'ruud{u'fls{errdssrianmrfinfic t ".r.on'g

I unt

a' n s{cuudrhifi fls {e rd nrb rn e

flq{a dtl{ tfi uri nnm#d.r rnfu hxrfi ndelnrefi Hn Fia n,urfi ordcy?.: s iunaufr{ ndm

rurufii Tnaflq{EltusitdfiutflutL{edfl.rnrilr.rnvrrda.::Jfr:ifintrflurnrurf d'.r#urdanrirefi.r

c{1rlrol orquilrrflu z rlryrnvr tfiuri

- 'l -r-- 4--- d o da. , i1. vlvlt"!u6'ltu{ (secondary renal calculi ) 6onrcnrTalrnnr.l-s{rerioilcoanurrutn4 d o oyo l

uSounre:flT'lrlrfr0il':orjrl{ntqu tfiuri primary hyperparathyroidism , oxatosis , renal tubularI_

acidosis, nrrtderuNtf,or rdu magnesium trisilicate, triamterene rflufru

z. hivrflus{rruEvi?akifinltuq ( primary renat catauti ttunrirudrarnluqtrilfi dod

1{6ttnqnanfi.rn'rrufinrlnfidioflq{nrde{drfir'du lorer1{lriflflutrnfiun,lr1drirtrirfinfi.i lduri idiopathic hypercalaiuria . idopathic hypocitraturia rflufiu 1u:rru#{:hutunrludu,Nmetrjdqv4o4ddililsqgK{El{tnl s{OlsttgntlJl.r idiopathic renal calculi

,rnon' g :lq{adEl{rianrarfi nf,nlufls{c{'lry

tfiprsarf,.l flqEuduo ' /

Calcium Volume, calcium CaOx&Cap supersaturation

oxalate, pH

Nephrocalcin, THP inhibitor

Uric acid pH , volume , uric acid uric acid supersaturation

infections pH , ammonium promotor

polymerized THP promotor

cystine cystine cystine supersaturation

CaP = calcium phosphate i CaOx = calcium oxalate ;

MAP = magnesium ammonium phosphate ; THp = Tamm - Horsfall protein

tfinmsfir urklffnrua.rdtJsnouta.rndau#:Jrynaudurflufurflut{,rdrg a.rd

rjavnoudlrumnd4ordo unnrdflilaanrlmn ( 2&30 ) rornrrurdounnrdsily-loc{rr,lgtiuJffu

unntfleilaon{1mn dluiilotri:Javnoum.rfi.Jtn'lwlrrmnlils drû",uoauu1nilu1ayrfl1fr'Copyright by Mahidol University

14.

muuriu (31) rru'j,foens t2 rfluriaunnrfifliluavtui''tu,1t df"u^r 69 rflufirunnrfiEril

€onslrnnun#rudarflud"runnrq'eilylannlm d'nszuyro.rfi"rtulnddrdrgfid'{Fiotild

t. drunnrfisu ( catcium stone ) ii.dfiunnrdflxrfluord:lffinouc{,ru1uqj tfiuri fiitfinunrntEieiloonslmn, unrnrdflilv{onw{n dqinqvo{rJuriuloraxfinmnr{ururnn.jtunyfnqv

rfluc{ruilavnousorf,rtf,nduhenv s0 narfi?f{uil n ( z2 t drbldfiunnn'Hilrfluord

rJa;nouoqjnvfiuoiauauontreri ijcunnrs'flrJaonmrnngrld'Nfinnnru6 qnrrrflunalurrfl.

drirqnn ufrrurn niu{orlunTnrantrrri deufieunnrdeilr,lanrrlnqviidnsruvnfi,rflrfu rfie.r\

uoiu'rurntraqjn'lr

I

r9z. firn-nrda ( strwite stone ufu infectious stone ) drdndrfnnufururTufin'n

ri'nrnudnirna{?iluvr1rttduflc{nmv dranr{au'arri:lrynaudnda ru.rnflldailuaa.rhrrilErrr

llon ntln unvfnfi unnrdetil nrfiJo run:Juaqifrcu uunfi r?sd rflunr naqrinrfl wran ureas rirhiflnarcrfiqvrdrflueirrfiHnnrrurutirtfiru.rnflrfieu, uoillurflflslrlonnlnun;unnrfifliln.lfuaruol

dnvnren{mnnvnaulfi{rfl ladndnurflunrru4iloed4n tduri proteus,{.d'.dulffori

Psudomonas , Klebsiella, E.coli , Staphytococcus urldrflfiu{unv yeast fi.rtfig,dfidn1yilc

rsvrlvd"t 6o fi:luT nturlrfiuna'reln fid'nsruvnfirstfllneN lnrhurufinmfiorr{odrildfrel

rfludrtfiordinnt"'ulnd4t wrmvfiorfir{nfieoant#rarun na#udcdfir.rqstanbrduml6'lu

mnroufiu n$4rufiufio.:lfiurinuelndlrdlfluc{'rruE uT nT #urnuunnffiao.nr#,fi0,..nv

nrrqnrflumrtfiuflnnrcv u?nnmslnma {:Jrml.:eruorqlrifiornrnirXn uncilrdcsn,'l.rvn !- i- Jlnere Fais ilad ntdsat nanxo.rniulAt nrn ronq md fi d'nl*nrytnffi,fr uoidrfludnung

ranr;d'rdo fimntur!6r.rne.retn u'fimdT.:fioe z do arneiourjuuiouftfitfi {ufiuo.rd

:laynou

e. iienenr,tr?n ( uric acid stone t drtfinfirurla;r.rlrufasns +to so.:ficf.ruruna6a"-gl

nanqTntiluruaatdniiu4nftfl?loit purine nrirunrafrunrrJunvqnfuoonrurn,xflnc{rey s{.ru

trar!oqilug:j:rosttrn'ur.rqrrrd.u"u.urirtdunyc{.luriouoqjtugrJrornenq?nrdrkinvnrElfir

nenq?nrrflunrprciou llo pKa=b.7b d*uauu.au.hfirflnn,rnvu'pH ritn.h pra nmrq?nrnrfi

frrrs{er*nndu rirt#rfiornrrnnilfintfiirfl urifirflnn,raru' pn 6sn.h ptca huduuqmnrvfiA o o ].to u

rurnTulonrnfinf,cilrioent d'.niu pH m{:Jdc{'levftfirr'rrildrdrgrionrrrfipderfiF,fi.trn dr- dr..r d

nrorq?nrfitrifiurrnlfieilrdo:lu qvne.rqlsivruXner ptain KUB udc{ril,lniflutfitoreai htravenous

urosraphv rafu uhrasonosraphy rafu cr scan {rJeadfitanlnfiprfirqfiod ffioriCopyright by Mahidol University

15.

ed.t a o

{fifineorg?nturlnnrrrq.rn'i'rrlnfi rfluTrnrfiT vi 1fiiun'r#nsrd?serm{mfirirrinr {r]'raddurSrfiaeu6"o.r,S.uunqrndnmlfrfuotattrJaduuT nrfiutrlfirflu:lq{Enn?ruddrA'rgo'n

ilavnrruds ($) dm*zuvmrr{ouf,ctfindorqrfluuinnnurnde.r riiarfluraururg:nrfiouriou

ffr.r uft fi d nadoqrJurir orr n fi 'rfn fi rur or rioufi ,r.: r6n un ;o rnru'unr u l ui or fftd

a. firdan-u ( cystine stone) fi'rtilndvrutdriaemn flu1u{rJradilnmr.rfin:indyrr.r

narufiu{tfio autosomal recessive rirt#finctrfior:Jnfinreqndrumsnmoailurfin divatent

( cystine,lysine,ornithine tt0v arginine )tu renal tubute rroutut{rtfi luflnn.o#fi pH4.$7.0

dnfiunrumn{vnrotfi s0G400 iln/Anr unscrnyolatfiurn{ufirflglnmsfinctrrflurirqr{oracrdlTu lunu:lndfrnfrun;qnfuoonmrlflnc{mvtud?ilrrufiofln.jr 100 iln/ za d',]Til{ ptain KUB

:ra$rtfinrd ltr mufj.n urdnsvhiflu uoiqynrumnuarniulficNl u-iofi:rurnluffi

finuruvsotfio*itdtlfiu fnfid'nuruvrflunadtril firrinr?nuun;rfluiu drudarilurl,rnrn

ufi.: :innvfiturortra4j uoiorqnurflufiourdnlunrsfiaufitd lu{dmdrflufiofrrnrsni.t

ne?nmqu1ru6 ngrJranrud uud rfl udn:*ruvlard s{fiuuau6'trJlrnEt?esu1yt1{trnfilnsl{

nitroprusside test

s. iirriindnulffrlaeilrn lfiuridmf,nriobd

fl. Matrix calculi fnnurrrurTuru'nrndnKufloiryr''r{r6ufls{ar.J;cand, pro,"us 1u

fiaurieqainreuian ( coasurated mucoid t d.rfiqrdnso.rar#u:Juaqjfiaa ficrfindqa.rortri

rfruqrnnrnroffilrrf rirl#qnfrTuriufirtfinnrnq?n usiunnriT.:d rnatrix stone flcqnmvqy

flurirr

lt. Xanthine calculinulu{fin'trilfiarilnfrntnrmr{ud6en.jr'classic xanthinuria .dgfinqrnnresrnraulqrf xanthine oxidase rir}ifi rJ?ru rruq.: d.rrfi nii'ulLfi u ugl.r?{nnq'lnnlfllltltoutqil xanthine oxidase yt1tlft.i xanthine ilteJ1il{.l il.ltfrniihifruugll

tsnsrrtiun;ifiq,fi'etduianuicruriunr#fitFuT runrnq?ndrll,rnv?.rlurdanun;luflnc{rnv

nr#nurdlfinnda nretrildfilhrj?r.nmurnrdatriflnarc;rdoqrgrn tuyredhil"dr.rno,.'c

tX allopurinal ruifi {melruo'tn:Jxanthine rdo:Juoqitufu mr{:Jeulrmd.rnrnq?ndtfifu n1fnmdf.re allopurinat finrru

ff. silica calculi rnrulfrfissmn flu1fr1uffrJ'raviffu:Jeanlus,tnnn?ndu' siticate d'.r

tdu masnesium silicate uiai:rrlawrrurfrrt:l trisiticate nnitlfrfi?errriunrntunsrl(1r€1u1tCopyright by Mahidol University

16.

tfr silicon dioxide al.lqnqorfitrffrnlnre unsd'uoonflrlflns{r.ry lurl?urrudru1nflofin1rJ1?n

rirtfirfinfirtdf dosanfhifiuoious{{ronnfti uoirdossrnu'grJruoreJuor#tirtrida{usnqlnidueunn[tflrJoonT1m9l

Q. Triamterene calculi nutfrlu{rJrudt{er Triamterene d.rrflufl''li'uflr{st1.lytf,nj.' v

potassium sparing ilrfirfinfiuo'tcilrvnoudrfl Triamterene adr.l6sq uSordarluri'uunnlfitlilI

aon{lmnunvn?nq?n s".:turlrnrnad'.:fnrfiortufrrJ,ra hypercatciuric catcuti dt{erdnrurYu

hydrochlorothiazide

i

o1n'lrua;o1n'tflr6n{r orqurillfrrflu z nrlud'.:dfio

1 . a1n1ilnant{m{n1#fidraqluvrrrfiuildnty rfluarnT #rfr ns1nn,tr?yn1s

rda.:rdo.rqrnfifioufurdsndlulnun#aln ur.rni{fintqrr#uorjrsrdt undu unvfintnr;{usiolst'lfruorinoicaeirlquuerrdanEne'ril{urorffaufiroantJ ornrnirdnurioe ldud flac{rcy

tflude flnar?cfn vi6oc;qa flc{dm;frfian rlcnrflur{n1nau?nzuraeadrrun unvarqfi

o r nr ehr nru rdrarir g r{rr rd fl e fiuun #o {fl o y rfl fi

a d.rfi ffrJc u i ruruhifia sdhi fi o r nr rln rn e {:Jrunrlnftndcuflrgurdu rdu

tuluelu franrqn ruvr5.: rflufiu unvnt?cru.Jlnru'ri.:r6rg.jT fiijoluln dtafilnrnny{uoan

rdst rufionu {rJru rdudrJ xmrufo fl n; r a n.o#u'fi "r usilrifi o r nrrln r?Bn.jrfi sitent stone

z. a rnT eherdouo"o n.#fi fi'raqluvyr.r Gufls{am c ufu arc dsn.ir rfl uarn nruru roton.#doqnfiuvrrlrfiuflndlrr R1'rvmdrdorqrfluarnrni,mr{:Jee sitent stone dior'ril

tu{rJr edvr nuri r rfl uilra qj riauufi.r a. n. # d. d'rg tdod

2.1 01n1?#ulJyrrrduaru,rr {rJeeornfiorntrjenfra.: ndulfi alrdeu

frordnrduld rirlfiqndraolnlmo{nrvnqry d,ltfidnrnu ldfisdn,nu uurq.r1,.'rr'dnrnu

2.2 ntfir,r{o rfluornrnir un;rflr.nrr;uyrrn{o#nuriognrrrudr nn

hdrirhhfinnrefiorrdotfiira 6o urinary stasis unynr"r;lnd.orurdrunoo.nn.#fin.rqr1

fru nmin:rrrirlddouffr.ru.n dao..nu-d.:u:lnnrlaarlunr6uflnnr,:y dd,.,A'rgda ,in.,fio.:rarifiririieaandes6rqvflntntd rioenFrdsr'nr$ordaqulnufluuuor ( pyonephrosis t d.:

4T rfl ufiar sirdn ro rtnfi,Ntiuur nCopyright by Mahidol University

't7.

2.g torrdaru sufinnmvlmcre {rJcu,{rucuradrrt^ruunvrrirda{rc1nn1?

orr'lqflu'irfintrvlntdailuiaarnmlmrle rdorirnmduc{rutrnflu'i1rfrrlfiriu. chronic

pyetonepritis un;ri'rfif,.r6"r.:nrluurl6uflanrcv {rJcen{udrfl*i.,,f. z {r lnearqnmq

lrinufic d"o..nrd"uraqnt.Jufic r{.runtdnrc{uri.rn.:d, rfiuriot:l du...nn.#firoslen1u

tn fi:Jrutun{rdurrvrEflftlevifit'orrqufioa.nr#fidetnusihirurnuunvrrirdorqrnfinlrruoor

vru4lnunaiufiuornrr ra?aarnrnarrul:Iar unvfinreyfiqdfiaqirlriorqrldnd'.lilrflu

ulrnritfi

1 o ll €an136U6.lU [en lfl € n''t mutag

i-t. ntnmcfndlrJ (udne anatysis) fnq;nuuinrdoorum usinrrtrhudprrdoor

urNlrid'orfiqoan utnvfinENru'ir fifiud.:1uc{rrudhirruuinrdanun.:luntnrlqflns{.oruFo

u?n unnilfie.:lrifthsnv a du"lnnrrsdrdaor urn..ndr.qnuanl*cucga.rrJanm#lflu

arnflotn1?qnriuvrtrfiuflanrnv od.rfirnuarfinaytmrqdeed.rdfi{dnmsijcdrflu Inflraflrv4rJ

t.|nnilluntlrngilflA.i cystine stone

2. m?eflsnrnrdnnrd Flain KUB) .rrr.nud.t?ounrudfiuunrilflurfluc{ru

runru firfiunrnldflilNrnfrcvtfiufiail1ifnvrrru:$r.n2:rarunnrdeil c{ru cystine stone qyrflu

firfiuumulofirurntrad uoiarqm.:lrirfiufirfirurnrdn dtair.rdrnrnq?nrflufintrifiuuc{r

g. mrrdntr.mifirnrrud.rdaarnfr,rrdur6afi (tntravenous pyetograpr,v,uiarvp I t{qmqurfirdkifiuucr ra6ori.:ddrunhd6'^,.r.,or.fi. fifionrew{rotir.:Girtufrlrelrnd'rtu

1n nrerv{:Jeurinfinrni'nruna.:1ndfin:ln6aqjudc o'rcfinnmvln'rrsrdaulrdu{u16lne.J a -rJ-r

ran r y uf, o dndfr e.t- nmru rfrru fiu rfrrbl

+. nranmcdnnrrmrd (Uhrasonography) rflunrmmqdhirunrfiuoioff:jcu r.r'fio

'irrfndofrost{{'irurrguntiodto.nutdrinfraqfituT errduair6ueinn,Nluqjn.l.r s xu. u6o

fin'lrxuurvladr.tFrtt fi'rtorlmfinhi.j1qsfic{.rulr;noull{rnfiorjrlenrndrfiuq;nclflou

rdflturnqude{trinriltndruvrvqra?arirul:ll6rioemn lru.jrtufflur! unrasouno finmrul,l

'lunrrqrerqfi.rfu s6 vo (at drdndT ntranrrerirfieNodrds.r


18.

ntrir{ndlaanqrntr.:n1fl ntrir{oficoonqrnirrnrflc#rldlneAfitrrriu du

ffururndrurari.r unvrfinna.:fi'ru1i{1firflu

n. {:tcadfid.J udhiuoo,lnt n.r?fi qmrur d'rd

r. drdfinurnrfiurir4utfnntrfinn.ir 0.b qru. luriruuu.:tnfin,ru enu{uoqj'lu

,duh u'ttn.ndurrqnuontfiror don.u.ronrv{u1#uqnra.:ldflnnn,lfl#rurhmn1unv1fifi

nlfoannln.tn''tgcra0l1uuu{t?to{urJ

II

firkiuqn ro.:ncrfi rfi orn.u qornr er:Jdeuuilnslururorra.rfioufil un;

z, fi.du'nt .nrffurirqutinnt 0.$2.0 ru. doqjlunrrutn ldodotqc{ruuunra

inu.rlnenranar gfirfi.lu ertracorporeal shock wave lithotripsy

dufudcdaflurdatn rinrfluiirdfisurnr6n ntrird'nraraanfnfia.rrir

dunnEreiotdotn 6.rfnrls{asl{unvfirfinqrrqnun.jrnrfiffari.:{druir.rnrmird'rr chud?dil'

turn1u4jlinfi aInrrunydrrfl uda.rldfunrecirn"o

n. {:Jrudfrdr uwfiornrr'hinrrinrniufiuudonnornrntrnfvreururiou ufi.r6.:

fiqrrnndrrfiunmrir{rrfi"roonqrnCrlnrfl d.rfi66nrnanraai #.rlorunrfl.j,ld'rruayrnnfinlri

frat ri r d'rr d'.r rial:Jd

1. Endoscopic ( cystoscopic )stone remomt tunaefivideaqlurialn 61il1?nro1

ficoantdTnss{annda.:airudaflaatrsrfirhjlunrryrrvflc{c{rey unrs{an61fldruni,rurffryialql

un;n'urarfitaon nrnidtraqjrfiun'lT rduaonldTprflner fiorsq;ruhiunnriouufir6rduaon

ado'lt ntoidiiroqluriotndruuuun;fiuaanhild fiarqn'urjrlfirfirhJaqlunacetnrdafng'r

lnsn'trdrd'n u?nlnan,'tennrtJfirriatl

2' Nephrolithotonry fionraairfr'nta, fi"raanlorflr.irairufirudfiurda:ro.:lorr{r1:l 1{q-.--^-a-4i-< q I v4 ^-3a I

tuneeilfrileuturnluqj {afr m.r?Gfifi a nrurnrirfimo ntffuu n r{cufo rdeda fi nrflirnrerdatnunvnnnj:vRvrBntnrnrnirgurortnnqlr;ursuhsw zo :rorlqfirorlu ,nr-drqrnnT rniT rdatnrffrlrJrfluu3nnrn{rrq;finrniT nrsrdotnrrfiarudqnlufind'n dudqnrdednaranon6ondqnd'nl:Jun;r{rudqnrfiuuun.lndlun,lrahd'nrrirudutr,fi.lrl,mdorrnf, drrflufrolirrranooudor,dilrrda.:1n ri,trillqr, r,r6ar,dsodom. r!.rfirtqtrnrdaorrds{rfluren,ru1u

fiqyrirtrinrnirmunarlndarun.r fi ntr.uouodrhCopyright by Mahidol University

19.

3. RTelolithotomy Fantaird'nrmrdrtutnoo nlnfl ajrdrunerErtn rftlil ntair d'rr

deee'ddrflunT ro.ird'ndfiHaderoialnriaen.irnT ae.irrindesifiaru rururyrtrufirfierunrrfin uny

neculoroqjuandutr ( extrarenal petvis ) nrlilelrnd,.turnrornraaird'nfi.rsiddaqjdnrmrufin

ilnfirornmetordrfluuuunrnulnaqjnre"lurdotn ( intrarenar pervis ) grJir.:,asfiodfioor.ou.n

mfl dr'lfi-uJ*arrumntorfiroonl6uuor ra?nfinrad'nmuu?nruirtnrirlrffrdardoro:r1fiibrufir

qutnndqvaiafrnlfr tuurlnaniaT nfirlryrataqnrdaordoonhilfi rirtfifio.rrird'ntnffr.r,}uuun

4. nephrectomv 6o nT rair oiorttat n du n.rinmlrnfi.rlutnfi rfl uiivdrdri,rulfilnflfiet:ldneoi.\nriurnu'lerildrn'rar.irfr'ar#onlcurdahdriln'aqlflrxru.nn'q, toretrid'ntni4.r

Tnerailrvturfl:lp#rfluriltut#rno':fir fiori.:#dfiorn'ntnd{fifio Jorflurauar uriluur.r

nrnl rdulu{rlcudfirdotnuturnqulriorqrfiutd uia fi6anoonrurnunvlrinrrul?nuqn

n1?oonno{ltdonlfi dnnuflildfiiT rflufratd'rrh#ua'an rdoinmfiimml{rJru lunarfid,lualufrntntnflsru'frari.:d fiotfiqmrurjr tna'nfir.rrad.:fiornrrumnrirmulddnodnnirffi

:J'lErdrNdanaqjl6 u?atrluatunrrfnulfirentffrrtnsfinnrcflunenidrirnrerirfinrorlnaon

ursc{ru r?fln'ir Partial nephrectomy dtesd'nrarc{fi{ lower pote tostoraon fr'rc{rufiinlrrufionjnfiodrt{ortqu ldrui calyx hl.rnoldlrirtfrfinnrd'nrauirsuayfinflrduludlfi.ir Er u?n il'do flso gturf,abr

5. Percutaneous surgery ( 35 ) rflun.rrr{r{ofi"raanlauairu6dfiarari.r tfiuripercutaneous nephrolithotripsy Xnst{rfiursT vgnrnfirni.rrffrXrJ(ln *rurdabrrfi,rtrl{nmalor

unvrioulturegt1traqjdur*'"euttud*c{a.rrftlilurfirunyduuarfioufiman*r tunmiddrfioulraqilrinrmrnduoonurtfi fl{ndud'nnnsrmf drfinlvratsnmfin uSotfiuarunnofi{rnavuvrntrxfir ugrn rflufiourdnnodryduoonlfr uias{nrfl'lfirflunenr

e. nrennrefirfi"Jg extracorporeal shock wave lithotripsy ( ESWL ) €b ) lrrehifio$J'nreci1oTou?auvxvxqfirurft idnT edanratfrndudecrd'.r6girufiaurftunynd,rr.rrdo

rffrl:JnrvuvrnfietnenN c{rilTnt#tfifiudetnun:ryia1mc{'ruuu ndurdesdrtfificriuunnuiofi

surortdnm un;qn{'urlr.r*nrfuflnnrrrtfrtnad{:lcutrifiurrru6n ndudrirounyrEr'iordado

do,drtduodilT ut}iaeilrn {anmrv{.rdo tunminund'rnaf;d'flortilfintqorrYuvrr*6u

flglnrrv dodutnnrufirna#tilfiamneedrurnhifiu 2 m.r. adrnr#nu,riido,rq'lfirjrvnountaird'rrtunenidd.rfirurnlra4j ra?atfiqr-nfi'{fi,ruro.rfiafintdoriounmdrfirr


74.

nl?Euninmurlrvl-dil n1?qunfnmuuuf'11:l 6a nrnlfuuJdeunqfinrnrd

rdenriutntu''rn1r (30 ) lfftddrui::{rJcetenfinr,lnrJ*unvr fio{loudnr.ufi'lruol uiatri

vrarunr ruqufu trifi :lq{e drut ririaui.rrrna dt rfi fl .rfiu 6a nrrfl orriunmnd'u rfl t {. udon.t

qunf,nvruuutit'll tfi ra?a tT.:trirl rvm niq vinsnln fl ntr-ir d'nI

dvuonqlnufl.rlltrqn

o i o Ja- o ot o Jl d "-ruuu? tulrJsuyrrJonflnltnnueq{ mfluuenouyt{t

J a J : -inlo140ntng{n1?touFt?g{EJen unyy{u1fl''trJ

lfiuri

o -t .1t

lrrJ n rlluu? unn [TElilao n{1[nFl -Ya r snrJ F dd'rriu6ulr niuhJfi n r afl fl r s r il a nil3il 1 ilro { un a rfr fl rJ Ltn v

o o n{ 1 rn ntufl n n T .r vtririr n.: n'j r evdud rfl uo qj

o6vvv4invavaadyl1 tl{nel41tJoanqilfi $rFr lrnvnnnarfl ttJ ?fi n1?

\

1. n1?tdii$1ft,'rnnirlrn (32 , 36 - 40 ) rfluif;nrrrdu.dtdfi.,n.rsoufirlnsri'?1il

"i'rfi:lffiltlfiiluriTeflorrTunmfinfierln:Jrvurvr loru{nq:Jrn.r,#tftAm.,ri.tu,nu1ruil1nfi

rdoh1fi:lhnruflnnmvadr.rrios z 6mt6u d.:firqytrl*':llr.n1rufls$6rrvdrnd''rr {rtrufror

tfifirrh.lrsrurru 3 finrunvcvfrortfirurnn"jrdfiT rfioru'nreyfiorilnfidfintqrgrdurLrrn..nr- -- .C---hvt-.-V.- - -y-qt4ttvu "l

u o- - -<d, C- ad qeC V -fl{n'r€r 2ffn13Mr?1rlJ1 ne?spltu tneLrlangflolnuil{eu xfiyr{lErflqnnna tltorJulfltucfrl

:lranruaruradonv 2 ufi'r unvtrdu t uficturna.irq.rsaunyriouuou unvfirff:Jcufiorqn

du$nflc{nr'rv fitriduirrn-uîo^t 1-z ufir tfiorgo.:firqsrflusfintorfitfi snrffuwrdrFr.re

radnrdflltunl?v absorptive hypercalciuria unyrlT tT'lulrnf,rtfinunnrdfluaantrmrl

z. nr:.irrina1u1??rdil'oontn,tma{{ (22,2g,g2 ) n1?Ft?uqila1u,'r?dfioanqlma{.:sy

firJrvtfltrilun, naEoir.rl dtirlrfnnijounnrdnuoanf,'lrnn urinu'jrdfi:Jeylflqdfnrquda

enteric hyperoxauria, absorptive

hypercalcemia unv{:JrudtfifirnTrin:s.ldlfl sodium cellulose phosphate o.r.tdfioonsllnel

q.: orn ufl ufln+a rd a.rddr A'rgd4 t tn ",rnrd:l?uT

rura{oa n$ 1 ra ntfi'u{urfi el rfr nfio fl q:nr

hXlanrc{ rfi nardnmrunnrdsiloo nrr mn{1a{uil1nJardr

oontrmnfiiiaqjtuiT .:nrr lfiinqrn z uusi.rda

2.1 Endogenous source mqnrec{htdulne oonrrmntfluflnruAnfla{nenovu^lu

gtycine Ttu'irheac 40 ?ro{o€n{lmntfirJrqrninrru'ur'qrnorura doouounarulhscrn

isr, fiudqyfidor,{rrfrr dninenc eo urqrnhJefi uluotarr

2.2 Externat source clno'tu1#Sr:lanrulfiuri Eranlfi ffnn{uJrusir.q ddrtfifuoanqltanqlnolultnnattiarurirlfinrrfr'uoonqrrnnnr.lfls{s{'trvrioflnl nT rlfifirunnrdflillfr1

l:Jfi'rsfiev{ud'erfluunnrdfliloantlrRFrtuvrrrn-uotar#rrflu nonabsorbabte r1rfr-nlr:rrru

rnntdailfiafltutru#ldfuoantrmnilnfifiqsfiaonf,1mntuflfidrcyniiru{ulfit2s,42,4slvi6ofir

Yltt Imun


21.

tflu malabsorpion syndrome qnfirultriukild ltfufiqv{urYuunnrfiesJ(unyuJnflrdeill uytu

rirblaonqlnnrfludnev qnqordr.rtfiluvrrrrfiuorute{cut{rq {rJceornfilonrnfinhperoxauria lfi

s. {rn-aa rurrdrl' una rdsu q.! ( 41 ) nr sirrTaa tar #fi un n rd eruq.rhifi n?1rufi rfl urin rnvqvndutflulvrutiTlfiooffillrnn6lil''rrnqnqnrfiruld.hedud.rs:,ri,r1iriir6r.piloonfl,)

rnnlu:Jnn1,t vIfr es,n't d.rfirtuvrrrrfiuorulrfimnrdailtiosn"jr aoo iln/{u o,rsdrhhfiilnlrqndt|unntdssrq'lnilrlr6uatarrurndu u.rr.#fiuunrfisilliramrirtrir-r.rnrEJs1r6,.rt

orurffimd{unnirtritr{nrstfinnrrv negative catcium balance odrltrfintr nratfifi.r

mrar#fiunnrfiflilurn(mnn.jrrnft.rAu)fineflrdnrduonurn.r,rendrhifiornr.r;

hvpercalciuria ldufivrt rfiuotatq;fi dnmnmq ordu un n rfl em qlurnardrln fi fi nlr

+. nrrirrinorur#fikr.rr'u*g n,re{rnrrtrrdsillfriosn,j,r zoo mEq / {u u?od6

lriqn n'a trirJrsmru 100 mEq ra6alugrJrndaun.r s.8b nft.rdu qnirli proximat renal

tubule qna'r.rkra'enrnduadrsurn unslusuunrarY.lndtrsvqnfiuunnrdsundudrg ri,rtr1

nnnley hypercalciuria d.rSrrflu:lrctflrrilu{rJr#u' idopathic calcium calcufi lnerqfllytu{:t'Jfldfi hvpercalciuria nrvitrTnratureltrdeilad'r.:irfl da ufinrdemruredt arurnrru-n

nor unanfi n rdtNnrafiil rndauutncorut

o. nre{lrin..u.trdudtf nT elfifirota,taftlen'u,iru.nuJrn rirhifin,rerrannaorlu

iTsnrflu'ln{u fiarahifiadnrrfunmaanluflaaruu.ndu ( s3 t firti pH fla{fl6d,.r?ynnn{t

d':qvtjnorn'rrqordlunatdeilnffJd ci$.t nephron fiarntfin,rrtfuunardEruflr{flnarr;m-rudu

niaruriurhtiavd'ufirErrnluflnalt;nnardre urno.ndn.rlfia,rurelrjrfiurftrirtrifioonff,)

m n un v n rn snlurlla nmvil r n{udr a ( 22,u t ft iu6mr #q yd r rTnlritildRr rda *n *.'n fi utl F2) (mnn"ir t.z nfr.r/ tilrt:n 1 nn./ fil losratrrcoEir{fi{n.lraanlftl1a:m1uo1u.l?,{tnrcnrdaffndnsluorurertorfiu(sztad,N1rfi6ul-nenrdnrds{rdadndlnsfurlrn,ruusiqin

odrl rds'r arqrirtrilfiiufindfiaantr nnannrfiul:Jlnuranr;{dmdrnf,asioolurniseii6*n

arqtr ot unn tdsils1nuil rirtriaont r rn orq n q or6ru1dirs d'rfun'rr6unrrc1fl nnfi lrrfl rqdet#1do'uretfinrir.r1 tutlhlrrunodln??unvrururynrurTunnln*rrnrfl ad.r nu,i,rffrpatrnrii'lfin1dfutln1{l&t*tfifl{na tunrnidtrififia#rru fin'rruucurl#mhrunbi{unnley*ru 20G

300 iln. rdilfi rnan un#rhl1dfurh,Oiudr.


22.

o.udnrdfl{ardarcd1lfirfinda tfiuri acetazotamide triamteren€ tnrfiud inrfiud unsdlflJtvnauunratdeil orqfirunrirtrlrfioficffrnflrqnaunu.j'roTcerlnil'tanrerirhirfin- u 1 d I ov- I vrlq{ElrdEJ.luToda lrifiafi'r fin'rnaqnaT ra?nnnflu1r]ro{terliulnerffr{r; inrfiudGr.rlruuln

orqriTtifinlrilfinoontltnnilln{u (38 I unvinrfludorcil'Hnlfirr' hypercatciuria (4b )

n r nl o qiu ua Jn lu q&t?ufr o rt uvr r{ m-ufl n d'l'r ;c{ruuuliu fraso r dEJ nr ad nnn

flr.rfirursurnivrsr r*jerarflq{eduodti.ltX,fidrnficeanuyrr6uflnar.rydcuuudtns{tufir

ffrtfiu unvrirrundffiqlnn'rtfinvlr.n:jfii:Jq.r url'1nr-inrrflo.rrTu rdannanflrnnhErfi.relenr\v

fim:ruumtfii.rf,nnmvdauuu r.,ufineTruqrgrfletunrequninvrunsrirl{irfldrfiRilnn1r

r6u. -h fl dr strnfi r rvuumqfiur]s{ o'l"r cduuudl e

turjrvrvrntvrutt-ltlu ntdnurrdfl.rrTufls{flrdfl{:ro{n1?rflulenfi'lasuunrfiu

flc{nrevc{cuuu ti.:hiuniunrsfin d'.rrlulunT rd*rFod -rruiq-edda.:fia.rehu1uqj6rrflu

nmfinprtasdrsilryrna

nrrrlunauorinl#orn1r{fouunrrfi B Miaurn

y{.fi. 2527 fume a$v Scott (q€ t dnmr#l Occupation and urinary

disease drJrrrnn o-{rn$r nr$fr.rati'xrflu{:lcetrnfiomrrr.orfiuflsrnrey,ilueu

trsct stone:

aznflfiritru1utr.:{Trqndlunt:ruunautnuvluuruundunnoirrfiu nnnmfinmlru.jr{drir.:rulu

J a .ae I

rurunfiqzuuqiig q$idnrrnqlilqnm{tnltrflulrnfiqr;uuyrrrfiuflnnrnv6ln.lruarundqd

qnnaqfidrn'jr un;dnnqn€irqrtunrludri...*.rflunnruruluunundqruuqfi qr

n.A. 2529 :.12c{ qd'uurt.rinri{ s ) frnmrCa.: drvrr.rrdufln6mslulaqilslu,.tn

si,rlrr tasfrnmqrnnfifi{rlcaran"jr.:rdau ilnnflnil - fi.rarar 2b29 flu.j1 Ern{rhulrn

f,cvrrqror'uflncrl#.tmrns{eulurg'fiufielstunvc{cu1u4jrJ*nauardnrnsnrnrfiN ( tr}.l1 o/o }

lt.fi.2534 n?a4r$!61fi1mrqr i.rrriururivrardaoirrlun;dnranrflraries{ru ( to )

lddrerqnruqnmllrnflrtutn:unrs6u'r1ne'nyfi'rrlryrnrr lnent(udmen ld{rudnd'rotir.r tz {rui'rr (elnvlnn'tn t fri.rnTunf:lruiFunynrecnr.!frld ( Hain rug t luflfld!1irlr;{fihiuiluau nnntedtrzqnu'jr orilnn:*nanmru n'dnrrqnmrtenfierarunr.:fiu

:Ianrrvqrn'jroT frr rdul Copyright by Mahidol University

23.

n.A.2535 Pin uav nilv t +z t flnmrdor Dehydration from outdoor work and

urinary stones in a tropical environment . rflunmfln:c1lfi{dre?q n{r.rd'rodr.rtflutra +oo

"-lu drirrnruart'noirqriu arnnTrdnsrflu.ir 'lunriu{:Jrunauo,l6finCIru{r a1mfihu fi

dnn nrrruq nrollrnfirvn{ u6ufl c{c{re y qr n'lrn {udrirnuludr.r o rvir

TI.FI. 2536 Borghi [0rfltuv (48 t dnwrfrl Hot occupation and Nephrolithiasis

drlevrvra o nrd tfl unmfi nsr uuu cas+controt stuoydnurlunriru ffrir.:ruluddqruraqii unn

sirrfr'u nc$udnvr'drueu 236 mu rflunr{udni.o.t h.do'ln1fiiau ( 2931" c I uruficadr.rt\

rioudqn sfl ir{runau4r.r,iruru 165 r'lrl rflunr$ftiro.u1uddq*r4fi:Jnfi tzq-2t tllulrsrudelefr'u, unv{dfirlrvdfirflubnflrulriauqchiilrlrflnr*r aranmfinmnu"ir ndu

fr nu"rfi d'nn nrmruq nmrf,rtn 6ln.jrn{u neil Qrr a dr.rfi rifl d,l d'rgvrrufi fi ( p < 0.03 )

c'r nnt;lnmfr.rfrunqrJ.jr ordnn'nmru dur{ufoio ntrfl ulrnfi.rr:;:.ruvrrufi u

r1s{arcvc{euuu Inu{dilevnauardnnn'uu{t a1n1d$auunyrdaruioilrn rde{eiantrflulen

arnT nfnuuioldfl#axrn

nnrvrmn*5firor"r

ti.:hirru'jrfinrafin:vrnJ?eurfiaude"rrYuflq{edrumfl*g,lilcenr.l'r.l{drfluri.lloruny

hi rfl uarh urin' n T

ad nmnthdrd uo rd sr fiuflq{s dru rn eugruv 6o

u.A. zlgs ciu:ifi ucrHqlfinfi ua; c{;e1et ninlrfnpn ( 49 ) dnur,*o ân.r

fnmfietnfi'tutdoonarude sonorrth 3ooo luleqfl''turnmuuriu n{ud'radr.:rflu{:Jeelen

ttiln z+z nfl ludr{ t ilno.rnrrfrntn nudT {:JcE i''rnntfinnrrunnnmintnrflu{,ru"ruxrn

fu t tu s d.:fl rprard'rnr{re rfi n{urdo{tr,lfl n ne1il sr nqurfl unr naEradn


24.

ntndilrhriocl

v1.A.2524 Griffith uas nrus (2g l flntr-rrduo n control study of dietary factors

in renal stone formation. drJrvryrnftnqu nr!rufrnr*rrfluff:J.ruil.rtn sl ?-lr n{r.rnluqr.r st

:'.|s lnflmatched age, sex, and area of residence frilnrunf:Jry66ntfil:lryilluo11t,ltttn;

tLdu tfirunlu t d:lrrrri arnnl?Anvr1iflr.j'r n{rudntnunynsiiln?unilfirlirurruntdurl'r

lnarqde t&'nninilq 1 nn.t6u hiuornsirrr{u

\

n.A.2527 Power uainsut ( 50 t flnunrdor Diet and renat stone : a cose - control-J,eta.t

study . firJrvrlad'.:nqu nrixdntnrflu{rl"rufulnntfir1a s1 fls gdiln.lu4r.rrfluff:Jruorud:

rurinsrtunnrtnfirdstlTu 94 fla fi social ctass hiuqnrirtfiu un; matched age dnmlnanra{rr:Jh.nruqrnnrniufinu.r.tunrrCn.tdudfirrlt

'ru lursudrr 4 i'u runnlrdnmnu

'lr n riru fr nr*-r uarn ajr nru rFfi rJ?m eunr adilti.rb,s rqde hi un n Di,r.riu

tit.fi. 2533 Borghi un;nr[s ( 51 t flntnrdAl Epidemiotogicat study of Urinary tract

stone in Northem ltalian city . d:Jrvrvrndmrd rflunmflnrnrfils{rrnq Xorenmdlu:Junou

nT.rnrrt:Jn*a1d o,ooo d'rod'x lfii:rn,nEraundudfroqn comptete 2,404 d'radr ,{nn1?

finmnu'jr ntirud'radr.:drnurjrtn fi:f:r.rruntduritadsriaiu N1nn"j1 nr!runruqru

aeiT .:fifsdr6'rgvn.rnfi fi ( p<0.001 )

11.F1. 2535 Pin unv nilt ( az t flnsrffi{ Dehydration from outdoor work and

urinary stones in a tropical environment. fiunmflnmrfidrmn nr$dhadrlrflutrs 400

f1u v,"lttn"ualfrrToirqrYu Ernnrrflmnnuir chronic dehydration rfluflq{sdsodA.Arpd

'lc{tlflo{n'ltlfluf,rvr1lrfiufl6s{1'Jv tun{ru{rla;nouoldflnnrlu{l o1n1fi5au unynrrilorrfu

odT s.irullnrenmrfiil Fluid intake

tI.Fl. 2536 Borghi unv nily ( 48 ) frnsrrdol

dtJtrron a'nrd rfluntdnvruuu Case+ontrot study dnnnlunr!ru {rfu rul#dqruuqiiunndrsrYu nr!rufntn,i,uru 236 rre rflunriuntti.o.t ludulnlfihu ( 2g3i' c ) lnud"r

odrrrioafiqn bfln{unnuq*r{1uxu 16s nurflunr!ruffrilt.tl#dqnruqfi,rJnfi (24-27 6,1

'luTrllrurdecfiu unv{dfi:]rv{6tflulendu.nriouq;l*irirrurdnue nnnrrflnrnnu.jr Fruid

intate lunr!ru{rfluiirln 6tn"jr ntiu4n*rflufirln ad'r{firifld,rfrrgnrrnf,fi ( p < 0.001 ) uoi

na'u{durictn *r'rGr.nrurlanmsriosn"jr nril.rff1rilfluilnbnd"o.,lnqrpdurhu,r.r#orru,

Hot occupation and Nephrolithiasis

?t''t{1u Copyright by Mahidol University

25.

1^t.6. 2536 curhantt6tyfttuy ( 52 tflnu,rr*.: A Prospective study of dietary calcium

and other Nutrients and the risk of symptomatic kidney stone drJa;rvrnnufggu?nr nr{u

d'lodrsrfluqnnlnflttnliufivrti tdu fi'ununyrri {ngunvrri frnrurrvrd mdrne "r dfiu.q

+ozs fltufl il.fi. 2b29 unctrifiilavifiro{n1?rflufi.rtor dilr Fonow-up ftudfl u.fr. zs2szssg

lorsnTc{{uuilnoun1ilvt1.r1rJm*n}I4n'l 2 fl ne!rud'rodr.:dXtffraqn comptete 4b,b10 flfl atn

nrefinsrnu'j't fi{:Jrufuulrnfltln sob t'rtr unvtunrir.rd ( case ) fi:l?rurzunrru?lnn Ftuid

intake rioen.jrnrjrunru4u aci,r{firisd,ld'rgvrr.:nfifit RR= 0.71,9byo cl= 0.b2{.97 )

il.fi. 2$9 Curhan $Asnils ( 53 I flntn#o Pro"p"ctive study of beverage use

and the risk of kidney stones. fi:Jrstnrtnraigaui?nr nrludrod'xrfluqna,rnrrrlnmurnryrri

tdu ti'ununvrrf {nqunrd dn.ruvrmd rnfrrnrr dfimq a+zs fltufl yln.252g unylriru'

rjifnotnmrfudqtn fJ Fottowup funf n.n. 2s2g2gg5 InErnrrdruuunouo,'rrJyn.r

l:Jrunitiqnl z fl n{rud'eodr.rdtfi{aqn comptete 45,2w era ru'{rJrulurifieetrnfiatn bgb

are elnnrrarnerrlfroqnrde'Jflu Ruio intake rqfl1s{:Jeuturi ( bob mflllneulilavdu fluid

intake rflu s gd'u n:r"jr neludr.r'rl?urru ftuid intake rvriu$ ( >= 2b38 mt / day ) filonrn

rdflrrionmrfl*irtr risfln.ir n4udfi:Grrnr ftuid intake rydud j l < 1275 mt/day ) adrdrigdrd'rgvnrnfifi t RR = 9.65 , 95yo ct = 0.s14.84 )

qrnnltFfnlnfrlduaqrJ'l. n.tdutLfir?.:n?rildrJr{ufun;trifin'rrrufirlr{ufriunl

rflulanfiotn-runr.r rduflanrnvdcuuu tunriudnradrurlrfi ôrufrir{uf

lru.ir nriu {rleedcmfirJ?e.nrunrtdurl'rrdfl/tu mnn.irn{rlrirflurilnt retrospective study ) uqrlunredntltl

ffr.ruriT ( prospective study ) rnru.j, nrni nuiO intafe rioetdfl.teianlrflulrnfirtnq.:n,jrnrmi

fluid intakeulfl

nr efi -rrl r;rnruo rur rfr-r?uql

T.A.251g coe oRgnolgt s+ I flntnrda.r The contribution of dietary purine over -

consumption to hyperuricosuria in calcium oxalate stone formers. dtl*rnrt nraigou1?nr

rflunTdnsrulllJ case-control study n{udnurrflu{rlculrnrdl catcium oxalate dndurfluf,,r

'i'turu 10 nunritnruqru{'u'lu s t u n'fia.'q rhrarindh 6R.'rnyr1{rrffr?gficuncdrnilrdu

rdacniu{rhe lnEriufinorrr#fi.,tlr.rru1u z+ r'btuo ujieurfisuffu arnnrednsrnu.jr

n riru fr nurfi mR.Ftn no ru r r dfi n,#u m n n'j r n {ru n ?u Q rr a dr.r il'rifl d.r drgvn.r n fi fiCopyright by Mahidol University

26.

v1.A.2522 Robertson unvnilt( ss t frn:g,rrdo{ The effect of high animat proteine

intake on the risk of calcium stone formation in the urinary tract.dilrvrvrnd.lnqv tflunre

frnvrtfiwornor td'rvflvt'rnr lz 6u nrlr.rd'rodrrrflutTud4tnTvr:lnfi 6 nu lorfl g iuurn

tflu control peroid nsjud'eadNqctfifirorurrl:lrducTnfrn{r;d'urlnfi {ud +rz qytfffirtuF J-t A J aa - '

rjir.rT rufrrfrruTuunvrnrufiriu nnnrrn?,rs:Jc{6.r1y 2+ dch.r raru'ir 1uryflyr.Jn.tdffu:Jrvytlu

oturrtJafius'1nfrn'i{.i( d.rqvfifidtsu6{) evilu uric acid , oxatate rnu calcium luflnnrcv q.l

ndrese#tfifu lilefi urydurlnfi odrsfirisd,rd'rgvnsnfi fi 1 p< o.oor )

Ii^fi.A.0522 Robertson unynruv ( 21 t flntn6al Should Recurrent Catcium

oxalate stone ,formers become Vegstarian z . dilrvrvrnd'.:nqu rflunmflnm retrospective

nrlruffcod'xrflufrrloutrnf,cvrTtrfiuflstnlev Bs mrr ( 60 ?'ln fi:lx6finrend'urflu{rm€rt

nJiuutfiEluriutra4mttrJnfi 22 r1H lnrentnril:le;,i6nT rfuil?yyt1ualu1il:lrfiu nu.jr

n{ru{rJcude firJrsdfinr?finlrunruotarrl:Jrfiulnerade q.:n.jrn{rnru4r loreraflrcl:lrfiuqrndnd

'ft.A.2524 Aiifitfr ttnrnzuv tZetflnmrdol a control study of dietary factors in

renal stone formation. d:Jr;rvrndlnqunriudnu'rrflu{:Jcuihtn st flsnsiruFrruqlJ bl :-lEt

lngmatched age, sex, and area of residence unydl.rnrunfilrv'5Entfiljt:l41ua1u,teunyrl,r

dru v?o"untu t ffiJaart. aranrefinsrnu'jT n{rudnueunvnr!runrnuqrfirl?e.nzunrnr?hnar

rarefieiiltnnrada IrSTrarinfrc 1 nndu hunnritffu' n,A. 2525 Zechner un;nilv ( 56 ) frnmrdor ldiopathic uric acid lithiasis :

Epidemiologic and Metabolic aspect dtlttrrn"oarnr6a nriud'radr.:rflu{:Jrflhnfic uric acid

'iruru rz nfldhiil'arntrm$rnrfi'rr{ nrlr.rn.ruqrurlnfi 10 yre ilnnor'[fi purine toading

udurmnnastu'i't n{runru4r.rfievd'u urate luflanr,rvriauunanfirnrerorna.:lriunnrirlfiu

r{cunrlr.r{rJrEilmfu uric acid finrefi'u urate vn.:rJ6nrrvq.ln"jrrioulfi orat purine toading

adrrfiriedrd'rgnr.:nfifi ( p< o.ob )

n.A.2526 Fellstrom ttnsnilr ( b7 ) flnr*rrdar ft," influence of high dietary

intake of purin+rich animal protein on urinary urate excretion and supersaturation in renal

stone disease. d:lrvrvrnairnu nrjud'rodr.rrflu{:Jraf,rtnr I rltt lnrsnlflnnnoltfiorure

l:Jrfiud'r z ffiJnfi lrJafiuq.: z ffi)a'nf arnntnmqflc{n1ey za d'rlruqru'jr ntirnJryyrru

atarrhJrfiu{.r ( fir?u6.: t qvfirJhlrnr urate 'lufldnm;q.ln.jrnrafilrlma4ruo.ru,ra&Jadudr- A.l at I da o

t fr rTuotr I odr.liitittdrdrgvn.rrtfi fi ( p< 0.001 )Copyright by Mahidol University

27.

Tr.d.2527 Power Bo3fttuc( 50 t frn:yf dn.r Diet and renal stone : a case - control

study . drh"tntt olnqu nrir.rdnr*rtflu{rJrufietmrflfir1er s1 ma n{rnruqr.tflufthudud

rutinsrtulcartndrdflsfiu 94 i-ltt fi social class ldumnd'xrYu ttou matched Rge finmtnil

nrrinr:Jlurrus'lnn1fliufinr'',rrrourrud"odudfi.,tlrrvrru turan.iN 4 i'u nnnrefin:*ryru

.jT n{rdnmBavn6!ilneu4ul.r'n'rniSlnnotarel:lrfiuq1nfrndT rut#u hiunnrir.:rfu

Tt.6.25i4 Trinchieri uaynily t Se I flnmda.: The influence of diet on urinary risk

factore for stones in health subiect and ldiopathic Renal calcium stone formerr. dilrvrvrnd\

n1d rflunraflhtnullu caserontrol study nrluflntnrflu{rlcaf,rlordndurflu#r hfl'lsivlflu

s{1ruql 103 ?1fi nrlunrruqr t+o rrfl tnflnrniufinu.rl#f,rtJraqrulu z+ f,,tllll Hnnl?

flnmrqu'j'l n{udn:*T finmfi:ilsnruatarafiriu il1nn.j1 nrlr.rnruqru arjr.:firisft6'rgvrr.:

6nFl

I't|.fi. 2536 Curhan[ovrl6uv ( o2 )dn:tltro A Prospective study of dietary Calcium

and other Nutrients and the risk of symptomatic kdney stone drJevrvrnnuryausnr n{u

frrodrlrflu:1nn''tnrrNnlrutnvrti tdu fiununvrti {nqunnti dqrruyryrti mfrrnr . dfiu.q

+ozs fl1ufl n.A.zszs unvlrifi:lrv{6to{n1trflufirtqG[ rotow-up #ruri fl rnr.n.zszszb33

lrrsnrec{ruuilc{oun1ilvr1.:1:Jnnfirir1n12 il nrirufrradr.rd'lrifraqn cunplete r.l' ao,sto ere

runnltfinu'llrl'ir fi{rlce1urid'relend'rbr sos nuuavnrlxd t ff:-lcaillnt finmr?lnna1u,l?

trlrduq, ndnd rurnne'rnriilnrilqil ( RR=1.33 )

cr n nr r;l ntni'rr dunqrJ.h nrrfi .nJaanruo rur efi "r*^dr?r nmu ft .rr{ufun Jl*ifi

nerrudr.rr{uf,rYunT rrflulrnf,rln dotun4udnncrudurdufvru.ir nmfir:Jmnruarurrfiriu

6udmria nT rrflutrnfirtnrurn"jrnmfillaanrua,udriudt

nr efi.rilenn1ua 1u1rao nfl 1 rn a6{r

il.fl. 2524 Finch unvnur ( bg ) frnrnd"o Urin" composition in normat subiects

after oral ingestion of oxalaterich foods. d:Jrvrvrnd.rnqu rfluntrfinvrriuoraol ndu

d'rodtrflur{fiq:rnrn:Jnfi g fle hinefi:lecdGntrfluf,crurriou lrrflnretifir:laynruorum

dfi utntrrnorlursri'u rir, 4r unvtri,{rrirrorum nnnmdnurnu.ir n,rrfirrJrvvtruol?r1?

aan{1[nnq{ ssfinrnTuaon{1mnn']{flc{nTJsr{rnn'j'rnT tfillafin1uo1u'lmantrmndrunyCopyright by Mahidol University

28.

lri'irlYerotaT r unsntiuiltvr4luol?r1?oontrrnorrirqyfirhrrruoantrmn'luflanmsDirn.ir

n r rtri,i T rYrrarur e o d r.lil'ried r drgvr r.rnfi fi

rr.A.2524 criffith ua; nrur ( 28 ) fin,rnrduo A control study of dietary factors

in renal stone formation. d:levlrndsnqv nrludn'vrrflu{rlrefirtn sr flfl nr!ilneunt.t b1

atg lnematched age, sex, and area of residence unrffi.rnrunf:lry,56nrafir:hryt1uo11,t,lt

u^thdu #lrarur,tu t frrJornf nanradnvrnu.jr n{rufinr*-run;nrjruneuq*r r':J?mrun,re

u?ln na tam,oa nttn nlor u,uda I ri,rurin n-c t n n./iu ki uor n oir.r rTu

'N.A.12527 Power $a;nu; ( SO t dnrgedol Diet and renat stone : a case -

control study . diltttnn d'.:nqu n{r.rdnv-rrflu{:Jctrdrtnrrilfirlsr s1 fle nrlunruqr.rrflu{

rJrfldudurinrnturenrlnfirde.:fiu 9a ms il' sociat ctass hiunnrhrfu unu matched o1q

frnslTorsnrefn:J?anzuqrnnrniufinotamunrrodo.dudfu*rnru turna"ir{ 4 {u arnn1?

frnmnud't nrjrudnr*runrn{runuqr.rfinrru?hnrolu'rroon.rlmnlnflradEr triunnrir.:riu

qrnnrriilnvrfrT s#un4Jr'r nrrfu:levrrrluoll,rlrnomrrnnx'r?.rnmuffur{ufuwhi

finrmufrrurnriuffrunmrflutenfirtn ttun4rudfinr,tr.rdur{ufiru.jr nmfirrJrrnruolulr,gon,4 ' qs .,,1u , '

fl 1 rnn4.! rdtl{ria n1'rijuJrnilrlnrutn.j'rnrefil:Jranruolulraa nrr rnnd,r

nr tfi lrJ e gryr rua 1u 1 aun n rt' au q.r

n.A.2524 criffith unr nru; ( 28 ) flnrnrduo a controt study of dietary factors

in renal stone formation. vi:Jrvryrnd.:nqu nr!rufrntnrflu{rJrudrln b1 rte nrjunru4u s.l

rtg lngmatched age, sex, and area of residence unrfrunrunfilrv'5finmf:ril?yyt1ua1u,'l?

u^"hdu rftratntu t d:Jotf runnmfrnrnnu.jr nr!ruflnmurun{rnru4r.r ru'rFmrunrr

u?tnnoruT r unarfiE rrlnerr"du I rirurind'r 1 nn./{u kiunnritriu

y1.A.2525 Marangella unJnoli ( 60 ) finmdo{ Hyperoxauria in ictiopathic calcium

stone disease: futher evidence of intestinal hyperabsorption of oxalate drlt;ryrndn,rd rflu

nrrdn:rrrQlvtnno{t nriufinmtflunriru{rJculraficunnrdeild'l*inrrn.,r4 { idiopathic

calcium stone disease)63 na nr!runcuqil 17 r-ru ( Health controt) tore'lu{uuantrhfrn{u

finununvnriilneuqil fi:rlr:nruo'rurnlnfi Bdeflns{ouflns{1nr z+ drhr nudr n{rudnvrCopyright by Mahidol University

29.

finra:iuunnLfiflilaonmrrrlnatrvq.rn.jrnrlunrcu4ru adr.rfirisdrd'egvrtnfifi ulavrornarhX

unntt'suluturortlnfi uavrirn.jrruorJnfi rqfl rvtun{rl{rhafin 22 r-l€r r rudrnriudtdiu

unntfiflildT finred'uunnrfieuflrlfl66T .rvdrn.jrn{udlfifiloûrdfluilnfi odrdrirdrd'rg

vt1.i66a ( p<0,01)

v1.A.2527 Power unsnilv ( 50 ) dn:*T da.r Diet and renal stone : a case -l-l

control studv . firlevrvrn d'.rnqu nrjrufinvrrflu{:Jcafielnrilfit1s s1 fler n{runreuqrurflu{

:hsadudillin:*r1utrnr1ndrfifl.!flu 9a vrfl fi sociat ctass hiunnoir.:rTu uny matched orqi

flnmtnenreihtGr,rru.rnnrniufinr.r.ruurrdrodudfi.,tjrrnru tumadr{ 4 {u arnnlt

finunyru'jT n{uflnmunvnrlunuqrfinrni?tnnarurrunnrisr.rtora#a triunnrir.rriu

n.6.2532 Fellstrom u0ynily ( 61 ) dnm#l Dietary habits in Renat stone

patient with health subiect dtJttrnn c{imu rflunmfingruuu Case+ontrol study nrllflnm6o{rlceTrnfi'rtnnindurflufr{Turu zo rl€l d.rhirnflldfirr{ruunitdenriurdamlfir

ilasnruatatr nr$r,rnnuquda{rt.rudtrirfluAotr tore match age,sex,scieeconomic, working

habit dnmtorflnrrqn:iufino'rra'',tdfirtlrrn.u1u + {u nnnrrflnsrru"j,r nrlr.rflnrnun;

nr!ru nnu r;ru fi ntfu :l ryvrluo lvtleun n rd fl u lri unn oir.rfiu

11.F1. 2533 lguchi ttffvo0lr( 37 ) Anlr1fto oi"t ry intake and Habits of Janpanese

renal ston€r patients dtlrt,rntfl4u rflunraflnm[uu case{ontrot study nr!rudntnrflu{

rlaslandrhdkiroutr.rr4 tt'rfi{1a 241 fla nr!runcuqr.rrflut[1Erqnn1y{rr' soz fler ara

nrefimnnu'jr nrru3lnnotamunntiuurornriuflnmun;nrlrnrruqulriunnritrYu ou#.nrlr.rf,nu"run;nrirunruqruu?lnnorumunnrdsildrn,irmrurfiJ'rrngrudn.rrlfifu'lu r {u

n.A.25i4 Trinchieri unvnilt lSg t dnmtdal The influence of diet on urinary risk

factore for stones in health subjea and ldiopathic Renal . calcium stone former". d:JayrvrnO

orrd rflunreflntnruu casecontrot study n{ufln:*rrflu{:Joafirlndndurflu#r lnelsiytnu

c{1tlrE 103 fllEt nrltnrruqu t+o nfl lotetn''rfliufinorrrrdit'rlr:mru1u za f.rlru atnnlt

d nunnu'jr n {u fl nvr un rneju nru 4rufi ntfi.nl rrnluo lul?rnn rfi ail hi unn oirr rYu

il.fi.2536 Curhantl6turttuz(521fln:grt?m A Prospective study of dietary Calcium

and other Nutrients and the risk of symptomatic kidney stone d:Jrrrvrnnraiganr?nrCopyright by Mahidol University

30.

nrirufreodrrrfluqnnln??tlrnrtunnri rdu fiununnd {nqunvrd frnrunvrei ndrnr r nifi

oTq 40-7b fltufl n.a. zszg unrlsifiilevd6rarnrarflufietn r?ru Fottow-uo rfio*ifl fl.A.zszs-

zsgg lnenradruu:ic{aunrruvrrrtr-lnrniei4nl z fl n{rfi'aadrrdtfi{aqa comptete 4s,s1o e"ra

runnmfin:vlr^lu,ir fi{rlceturiffenlrnfi.rln sos rruunrnrjrud t {rhadrtn t finrn"r?Inn

otatunnrdflil fioen.j1nrlunruql adT{firifldr6'rpvrr.rafifi ( RR=0.56 , 95yo ct = 0.zt$0.73

, p= 0.001 )

c'lnn1?AnE rfT .rfiuaqrJ.jr nrefirrlesyr''lua1u1tunnrfieilfif.rnc'lr.r{r.nduf,unylri\,

ru' nmr.r fri.r fi'uf,riu n m rfl utrnfi atqlf,o , J< v efirlunr{rufifi n.rrildilfiufr{u'i1 nrafii:Jryyrruortl?

unrnrdsudrrdqoionmtflulrnfi.Jtnxrn'ir( Prospective study ) urinl$nunriqnoraol nu.jr

5u:Jrvnrualulrunntdsr.nJn6'[un{u{:Jruiirnvfinrrfi.runarflfluaanylrlflnnr"r16n'jrnriu

neilnil o ci, ul'rirudr d'rgyrlr nfi 6 nur*'ur rurthiun n rdeillmur nrJnfi unvdr n"jrrur nrJnfi

ranrvlunr!*r{:hudr 22 T1u fl:-r.i1 n4xdtfif.runnrdtrillir fintfuunarElsiln.:flcn''rr;

oirn.jrn4r.rdlfi fr runnrdaulnfi ae jr.rru'rirudrdrgvrrrafi fi

ntfu:l rsn1uf1.r rufi sr rfl urj rs{'r

?{.rt.2E3b fr?r,'rlr{ rofinnorrQor ( 18 ) 6nunr?a.: el?ieutfisutlq{grdtr.r{:Jnelrnr

Plain rug u?a vp :lanfilutmrreTurn:$fild lns

dntn{:JrulenficnTrfiuilnn.o#oruun tofidfrnflnffiil ,iru.ru 1g2 r1u un;n{ur:Jiuurfieu

I vltr rnru.ir tfiortodrrdfi.nlrvrrurflurle;ir iinmilusrnsirrriuodrrn'riar{rdrgvrr.:c{fifi

6o{dmr:Jrnnrufr1eruflfl.rrflurJrv{Tqvfin.nurde.:rionrarflulrnfier:ruun,x6u:Jn6my q.t

,uJ-tetn'lr{fr fu:Jennruffier{rrflu:lay{'t ( oR=1.8, pvatue =0.04b )

n.fi. 2b3b drurnruf rrdur,ruonnqn ( 62 ) frnvrudor n'rrrufrirfiufra.ta.*rr.#1d

iuto.rnultrnrnn;{uaanrderruflasaqlevrvrfityrfl riuntrfinlrnfi.rln unvlrnlnd'unrnh,itfi

nrlufrrodr.rrflu{:Iearillor {:lcutrntord'unaorhild um6dkirfluArkrtnrlr.rrGtruriieu)nil

M :'rsTnsrfi:Jfi"raeir.:atatrrvirGmzudfirrlrnnruqS.:rfluten1 3 r'ufindori'u rirurflnun

odr.ravro'enfi.:tflprsa.:arurrunv:J?rurzurta*ara#fi.nlrvyrru Inflnrfirnnvfir'r.rrnfi rJn

nt rfr nsrnu.j r n r ni?ln nfr r.r nafl e'rhi un n rirr riu lu n r! ru n-aa d.orY.r* t


31.

sr n n 1 tA nu.r{r.: frun grJ'h n mfi .rrJ ryn tufir r nafr ec fi f.: nmru fri.nt'uf,un C*ifi

nnrufrrufufriunmrfluTenficbr drlunrir.rdfinrrTrufrrur{uf,rnu.jT nrrfirilrsyrrufimnafimrfluTlry,irdfl{eiontrflulrnfi,rytrqfiuflr{sqreyrJrn.irnmfrr:lrnnT uffr,rrftrfluileydr

nlrr{u:he fr.retrndffa.:uouulu1

the

ilnEl

,j,t

anFl

n.fr.2531 .Hwang uay nily ( OS t frn:yrdn.: Effect of prolong bedrest on

propensity for renal stone formation drlxrnn nraf,gou.r3n,r frnvr1utrflEfln,'lt{

I fls Tdsnr?lfi Bedrest unv4rfirrnmrndautrae rflunnr s frrln'uf runnmf,ntnnu

finrrfi'u prnrnldar.r v,lonllaid oon{lmn sonntflnn.',.rq$t odNfirifldr6'rgvrrr

( p< 0.05 idlrfluntrrfiilnerlrrdfl{tunrariofr'rsor catciunr.containing renat stone.

tuo nsudsa{ Newfoundtand mr Labradanriud'rod,sv?rdu un flEr arnnm;lnrn

n{u{rJrurar$rdrflulrnfimrr6uflc{nrcc fi:1ru{fi ntr{ur-l.rfl d.retenficluvrrsGu

cr n ntilnu l{r frua qrJ'lr nrrl*i ndoulue fi .:nrs rfl urqnlurul rdu.r oio ntrfl u

d,rlql

.{r66ajootA.ntfrrJr;riE riu:l.re.i'relrnilrrvr.runrqrfr uflddm;luurjrgrfi1nffi n

v1.fr.2522 Junghall unvnili I O+ t dnunrdo{ Family history of renal stones in a

population study of stoneformers and Health Subject . drjestflnndr,u ufluntdnryrri.:

drmq ruantf,nsrnu'ir nrprdfirJrvi6.irdurjctqt ston+formers ) fidnflnrer{u:laefi.re

Irnfirvrr.rrfiuflctdr"Jvtor:lnnntunraunir urnn.jrnrir.rlrirflufi,r (stone free controt )odrldv I / aqililgn.lnrufl1llnnn uwtunelustone-formen V'tfifamily history of renal stonefidn?,tn1r

e 6 3 -lnndurfludrtolficln q.rn'ltnrlt No family history of renat stone odrlfirhdrd'egvrxnfifi

u.fr.2523 churchill unvnilv ( 65 ) dnmrdo.r urolithiasis - A study of drinking

water hardness and genetic factors . firlrurvrnnuftou.r?n, tfluntfln:g.ruilil crossectional

study

nu'j't

fls{c{rey:lnlfinr il1rrt1 q.:n,l'rn{runruqruodr.rfiriadr6'rgvrr.rnfifi ( p< o.oot )


32.

Y1.fr.2526 Robertson unsFtrus t OO t flntnrdal Study on the Prevalence and

Epidemiology of Urinary Stone Disease in Men in Leeds d:Jayrvrndlnqr* rfluntflnmlAldreertunr!rurlrvtrnrtflnqre Inent€{{uuuc{aun1iln1.rtrln*niri 4ruou s,467 frioeir.r

lfrfu nmomufrmltffioqn complete 2,sgo d'co dr{ fl u{i"nn ncruqnrorlenrfi.ryrrsfiuilc{c{1es

fntrav a.o un;nu'jr{virflutrnf,rvrrt6uflnnrev fi:lrvi6n,ur{u:hflfi.rfllanfieyrrufiu

flnnreysolqnrnnlunraunfr rurnn'ltnrluneuqru

fl'6. 2530 Trinchieri unvnils (67 ) dnmr*.1 Famitian aggregation of renal

calcium stone diseas" drjayryrAO'n1n' lnenrad.luuunountrvn.lhlar*niri nq'rud'rachrflu{, lr d J f,.

rl'rflila1nfru'tflhtnfrIr.rns1u1art,u'i1.:fl n.n. 2520-2s2g ran,rv{rJcudrfluriunnrduudki

fle1u6'rt1rq ( pase t lfinrlr.rd'eodrdlfifioryn comptete 214 Tltr ( SZ Vo ) n{r.rncuqrnr!ru

utn {r.rncodr.lnrnuiadoqlnfirfie.rrfudfinnttuendarunfirsnfuriu nrlunreuqrnr!rud z

rflu{nr.raa:ror case lne match alqunvr?rfi arnntdnuenu"j,r nr!ru{:had.l ( case ) firjrc6finret6urlcflfinfltrnfievrruhurJnnreyflo{n{nnatunrounfr ( Famity history ) il1nn"j1

,'unriruncuqrur{.rno.:nriru aeir.rfiriedrd'rgvrxnfifi ( p< 0.001 }

t{.fi. 2533 Borghi un;nil; ( bt 1 dnrnrdol

tract stone in a Northern ltalian citty d:legrnfldnrd

Epidemiological study of urinary

rfluntfr nurrfu drarq lnsnmc{r

uuus{oun1ilvrrrl:ln*rfl{ o,ooo fi'rarjr.: ( zs ga saqjrymnr ) ldfirnrrnaundudfraryn

comptete z,qru ilqah{ ( 1 vo mqlrotrnr } arantflntg,fiu.jr

nrer6url.rflficslenfirlngatqnnntunraunfr (Famity history of

n {r.r ncu qru e eir{fi riedrdrgvrtrnfi fi I p<0.0001 )

n.fr.2il3x Thun rlff&frmc ( 6g ) flnmrdso Urotithiasis in

fica dtdhiru'rlrsdfi nrar{urhe fu elenfi'rvnr rfiuflc{are vso{q n nalunrau n icdrnrgm.rnfifi (on=g.g , 9b 9o cl= 1.$7.41

elnn'l?ifng.lfr.:fiurrqrl"ir nT ni:Jxidnmr{u:Jrsdeslrnd.rvp.rrhu:Jn6mssa.l

qnnrnluneounft fitonrc{de.:rionrarflulrnfiqrt ruflrr6uflc{nrcs rurnn.jr nrlhiu'rJrv66 nr rr{u:J.r adf.J Hlrnfi'tnrs fiuflnnrcvmlqn nnluneau n f,c

nrirud'rad'rsd,n*i.tr u'

kidney stone ) rufnn'j,t

Tennessee : An occupation

window into a Hegional problem. fi:Jrsrvrg nraftau.rSnr nrlr.rftoti,xrflu{drir.r'ruXulrr.:ru

qndluntflJxdn uranium totuios Tennessee ,{'uru 208 na unyelnuio{tnfrrde$ruru

4,331 :'lrl trnnl?Anu'lnu'j1 nr!rud'eodrrdru'rlry{finmr6urhefictnrnfi'lv1rlrfiuflnnlls

mrr;nnrntunmunir n'lonrnrdtroianmrflulrnfimn:uyrxfiuflnnmv rurnn.h ndru

og1{tJuEl


+

AH 33.

J | 4 q eJet | |

a1 fl .rfi a npj arn nr a?l ntr-rfl c{efr il arn rio ntrfl ulanfi c eyuuyt r.l 6uil6 6 1? tfl n.n.

( dnluYtr )

HecflItta{ d

i{nn']rffnEn

u.A.2519

(drai5

ouGnr)

n.A.2522

tdtnq:*)

fl.A.2522

tdrnq:*t -

n.A.2522

{nirrru }

Coe,Moran,

and Kavalich

\I

Robertson ,

Hgyburn,

Peac'ock,

Hanes and

Swaminathan

Flobertson ,

Peacock,

Heybum,

Hanes, Rutherford,

Clementson,

Swaminathan and Clark

Junghall

The contribution of dietary

purine over - consumption

to hyperuricosuria in calcium

oxalate stone formers

Ihe effect of high animal

proteine intake on the

risk of calcium stone

formation in the

urinary trast

Should Recunent Calcium

Oxalate stone formers

become Vegetarian ?

Family history of renal

stones in a population

study of stone-formers

and Health Subject

v. o I I .t a6HU?EI t?nu? tnil nlflJttnn

iao .ra 1u't?fr rJ=fr ?fti il 1 n n"i1 n 61il

n?uqil o citfirisdrd'rgvn.l

fln9l

nrrlfiful:Jrfiuc1ndnft{f, da cr . I(til{qsilT'| ?il{{u tun Eils 1n

{snT{ilnficv}muric acid,

oxalate uflv calciurh lu

flna1.r; {,tnd1ayfl #tfriirtrlrfiurudurjnfi otiNfirie

drdrgvrr.:nfi 6( p< o.oor )

nriu{rlmih ru':les{fi

ntfir:lrcvrruo'lu1 ?Tilrfi ilolnEjrans q.ln11nqilneu4il

lor E rsnr vt:l rfi uqr n 6'n {

n ri# rfl uii'rlor fi o'n n n r rrh sff.r fl tmdrfl rl fiufl€{fi 1?y

fl o{qn natun?ail n f.J il1 nn.j1

n{rltri rfl urir a drdriu dr A'eg

vnrnfi fi uavtunrluiiatndfi

family history of renal stone

ru'd'n er n r an du rfl u{rm lfirlnqln.jrnrir.r No famity history

of renal stone oeirlfiriedrA'cp

il1{6fifi

\ -r o53 5P$u3e956


34.

Jln1n.tfi q ciat npJanntfl nlr1fls{Emdfi anriantrfl ulrndaerlmomuflnnres

( 6nlud )

u.A.2524

6rnqut

u.6.2624

tdsnryo

i

Griffith,

O'Shea,

Kwany and

McCorhick

Finoh ,

Kasidas and

Ros

v[.fr.2523 Churchill,

{rtufg Maloney,

ou.r?nt l Bear,Bryant,

Fodor and

eLult

Urolithiasis-A study of

drinking water hardness

and genetic factors

A control study of dietary

fastors in renal stone

formation

Urine composition in

normalsubjeots after

oral ingestion of

oxalat+ricfi foods.

nriru {rJnurarft d,fl t le^donrro

rfiufls{nmc fi:lesifinrerftr

:Jrsdreilenfietx{vt,x sdu

fls{nrecro.tfin1 il1?n1 q{t

n d r nr$ nru qlo d,Nfi rh d r A'rg

vrrlnfifi ( p< 0.@1 )

vt d n

{rJe uf, cln unvn rir.l n'ru qru fi

rj?r.nzunredr.rfir, nr ru?tn n

arurrfi e?u,oon{,lmnunc

unn rdsulas rad Ir nhufn d'e

1 nn/{u hiunnsir.rrfu

nT rfi.njgyrruolultoanq1 lnrl

6mnintfiroon{1mnn1{rJnnr.raltnn.it ntfi -nl a:nru

o luraao nn rn q dr unsbl{rryn

a1u1?un;nlrfidetmtuotuta

o a nsr,n rui.qsfi rfiilr suoo nsr

m orluflee rccli,r n.ir n r dtri

{r rYnatata dr.driudr A'rg

n1{6na


JC.

n1?'l{?r! 4( eio) ngrJarnn'r#ntnrlq{Eidil'runrianrarflutenfiran:uur.rrhuflaamz

fl n.n.

tno.ufi't

HesEl

J

tf?{td

ilan']tnnE'1 .

u.A.2525

(aogqrerSfl I

u.A.2525

(oDl"ln )

v|.A.2526

(adrnul

fi.A.2526

tri'rnqv t

Zechner ,

ffluger and

Scheiber

\II

I

I

Marangella ,

Fruttero,

Bruno and

Linari

Fellstrom,

Danielson,

Karlstrom,

Lithell,

Ljunghall and

Vessby

Robertson ,

Peacock,Baker,

Marshall.Pearlman,

Speed,Sergeant

and Smith

ldiopathic uric acid

lithiasis : Epidemiologic

and Metabolic aspect

Hyperoxauria in idiopothic

calcium stone disease:

futherevidence of intestinal

hyperabsorption of oxalate

The influence of high

dietary intake of purinerich

animal protein on urinary

urate excretion and

supersaturation in renal

stone disease

Studies on the Prevalence

and Epidemiology of Urinary

Stone Disease in Men in

Leeds.

n{ru{:Jcalrnfir uric acid

rl'nrrfu urate fl ''t{fl6c{1.Jy

6n'lrriauti oral purine

I oadi n g g d r.:ru'rig d r 6'19 vr r.r n fi fi

(p< 0.05 ) drunr!runruqru

fi r;du urate 1u:Js{s{mvriou

m md{r n 1 ?yt n nashi un n sir{ fiu

tunnr#lfffu ota,r erlnfi n{r.r {:l.r fl Trnfi r fi nr ri'u un n rdeu

oa nnNfl6 f[''ter{{n,j1ndil n.JU

qruo dT .rfi riedrA'rgvn.: nfi fi

tu{:Jc erfi clor n I efi .r:J ryvrru

aru,rrftJ#u6.r tf,a?uqrl rv

fi:J?l rzu urate luflgqs{,t,t r{{n.irnrtfu ilriln'luo,t1,t1t+-r^c--!^,-< J. | 4vru?FluFt.t (1 t1flJn1) afl1{lililfl

dTd'rgvrr.rnfifi 1 p< o.ootl

{d rfl utrnii'ryr ,rl 6ufl6r 6 1 r tfi :l rs{fi n r e r6u,rl.r e d.lfl lrniau21t1{ nu:.J6 61erm{:{nnn.lv[unsoun??il''lnn?1nqilR2uRrJ


36.

n1?rr?lJ q oiol

fl n.n.

t no.rd t

ryrJsg aantdm*'t

Yr.A.2527

drnryu

Power,Barker,

Nelson and

Wnter\i

I

Fenie and

Sctott

n.4.2627

t d.:nry*)

Diet and renal stone :

a case - control study

Occupation and urinary

trast stone disease

fimr.rrfiuflnnm;tu

Ielytstrnsi'nJ'x

Familian aggregation of

renal calcium stone

disease

,a - ll I d

HUXfiUztr|UnUnEilnflqilil

:l?r.n nrn mdurh,u?tn noruturdusrnfrn{,oonmrnql

unvunnrderutnflrqdstJ

{drirnuluuruundqnruqiiq.rqsridnnnqrruqnmrnmrflu

Ienri$rrrYrrr 6u:lnnm qr, J J ,'

n'j r unun6u1fi qruuq fi dr n'l't

umdaarqnfu6.:lunriud

ri rmr.sn rfl ur?nrululusrun

dqruraqii6.r

ftJ'ruhnihvrt6urlnnm;vft ur nd'rulur! rfl ufirln un;

r{ eulurlrJ*nCIuo liln nrm?

n???J(63.11 %)

I v. tr d r 6nriu {rJcufu fi rJev{6nr*{u

:l.tt| fiqfl trnfiefl rl 6u:Js{nrq ;no{qnnntunrau nFl il1nn.j1

n rimru qm drfi ria dr 6'rgvrrl

dAA ( p< o.@1 I

n.4.2529

0ltgrvrnlvret)

n.n.2580

6nrd t

Trinchieri,

Mandressi,

LoungoCoppi

and Pisani


37.

nlrr.rd 4(dal ngrJnnntfr nrgrflq{#finnsiontfiuland.rotr'rorhutlnn'ns

fl n.n.

t no.unt t

rymsJt30{ nnnmfimvr .

a.a.2531

taufg

ou.r?nr)

Hwang,

Hill,Schneider

and Pak

\I

i

'n.A.2592 Fellstrom.

{ nimu } Daneilson,

Kadstrom,

Lithelland Liunghall

T{.fi. 2533 Borghi,

t6nrdt Fenetti,

Elia, Amatq

Mdloni,

Trapassi and

Norarini

n.fi.25ff! lguchi,Umekawa,

lshikawa,Katayama,

Kodama,Takada,

Katoh,Kataoka,

Kohri and Kurita

r d{ur

effect of prolong

b€dreston the propensity

for renalstone

formation

Dietary habits in Renal

stone patient with health

subiect

n1? Bedrest uny4T rYnnrtrdrt

luerflunn'l s frrjntffinra

fu unnsileru r.lonr'lafaunv

oo n{1 mnoonnrrJnnrl;{du

odrdrisdr drgvrrafi fi 6< o.o5)

d.r rft rnr erfiil nmrt rdeclunr rriofiego.t calciurrcontaining

renal stone.

t. d r r dHUQAUX ['| Un;nEil n?ilqililn',]?

fu:lnmruarutunnuEleil

lriunnrir.rrfu

Epidemiological study of

Urinary tract stone in .

Northem ltalian city

D,ietary intake and Habits

of Janpanese renal stone

patients

I v ' dc lr <nqNnmgNyrrlruu?lnil

rj?r.nnrntdr.rrlrtne #fl do{u

uns fi nrar{u:Jesfiastmdrtel

fl a{q n nnluntoil a feil'ln n.j 1

nr$ nuqr ati'Nfi riudrdrg

yt1.rs{nfi( p<o.ootl

nrru?tnnorrmunnsil${

mr{rhufirlnumnr$nrqu

lri un nriT rrTuo^*fit 6rl.*io1tBasnsiil nfl qruu?lnnorura

unn rd sil ei'l nrir nzudu r ngru

dncrtfifirlu r {u


38.

nr1.!tr{ 4(n'ol nE:JnnnT rfrnsrflq{erdil'arnsiontrflulendoearuy,ru6r.rflnnr.l;

fl n.n.

( no.ud t

{?stldtt0.t nnnreflmyt

u.6.26u

(on1nl

u.A.263/'

{nuft

au.Fnr)

n.A.253/.

0Jestnn

tvre)

Trinchieri,

Mandressi,

Luongq

Lpngo and'I

Pisani

I

Thun [l0s

Schober

n#ilt?{t

61flrnrEfluas

uuliilsrderd

nTrlllnran

unlguli'tglt'ru

The influencs of diet on

urinary dsk fastore for stones

in health subject and ldiopathic

Renal calcium stone formers.

Urolithiasis in Tennessee :

An ccupation window

into a Regional problem.

dtcnnmruqnmrtende

tunru:.m'xrhufl66TJs

r{.tilrrila

t,. d n .r{ueEru2 ntJn1fiilllryyt1u

orurtfi etu rurn n.hnrir.r

nqilEilad1{u'riadr6'19

nts{fifi ushr'nr?fiJ

:lrnn'tuo'tureunn riileil

ldsnnritftr

nriudaa drdfi T las{Anrar6u

rlasdrebndent rfiuflnnr.r;

no{q A n aluneau n$:fi lo nr e

rde{Fio ntfi ulendcvrmfi u

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fi*ifir|*mnrfl6ur]esfi're

trnficnr.r 6r.rfl n nrevso r

qnnnlunraunfn adrtfi

riadrdrgnrofifi ( oR=3.3 ,

95 % Cl = 1.$7.4 )

ar6ln nr*nrnrru fidornqn

m'rlrnficr:;rnrfl1{6u

fl n cr.rv6rn'lraT dnodul


39.

n1 ?1.:d 4(ria) a grJruanr#nu,rrls{E dfi arn oia ntrfl uTanfieesuumr.: 6ufl s{nmv

fl n.n.

tulo.t d t

H.rsfldt?o.t

I9.tan1?ffntn .

.llfi. 2535 Pin,Ling and

Siang

fl.P|. 2535 fr?nrrf

(:lr;rvrntvrEi)

Tr.fl. 2535 Cluil{:f

nJrsrflnlns)

n.fi. 2536 Borghi,Meschi,

6nrdt AmatqNovarini,

Romanelli

and Cigala

Dehydration from outdoor

work and urinary stones

in a tropical environment .

tcd--Atutgulytzu1jsqfl[c{g{

{:Jaelrnrfirvrrtfiuflnntc y

unv{:hudraffi L?ri ptain KUB

r,i?a rvp rjrnfitulr.rns1u1n

qr?ffi|

ne 1il dil}[uf,ro{ 61 ro 1u.t ?

)nvu a eil n?lJfl o{nu tunlnnu2uaon

tdsr ndfiam$lryrYr nlilfl fiuaeir6

n1?fi nlrnfr rlq| unvlrntnt'u

nrnhitd

Hot occupation and

Nephrolithiasis

-tunrir.r {:J rvnoua 1dil

nnr.:u{.r olnldhu4v o Ailanflne1ilqnflo{trnu?

nt6ufl661?y q{n'j,t

--, f,o o ,nQilytyrl{1lj turil 5 rYll

{hronic dehydration tflu* - J Jn - Ju1cfl rnB{yt g{1nrun4nfla{t

n t rfl ulrnii,t ruuuyt 1{t 6ilflns{res

{drrfuvrru{rerufis.lqrodJ

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n rirun"ruqru o dr.rfi riadrn rg

il1{6fi4 ( p<0.03 )

-Fluid intake tu nrir.r{rflu

fic1n6rn.h ne!ru ff1ri rfl urirCopyright by Mahidol University

4.0.

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fl r'r.n.

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Curhan ,

Willett,

Rimm and

Stampfer

Spiegelman

and Stampfer

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t:Jrduqr nfrnfi .n n'jr n{u

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(RR=0.71 uot0.56,95 ToCl

= 0.52{.97u6c 0.4$0.73

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fluid intake rsd'udr

( < 1276 mUday t adtfiriadrdrgvrxnfifi (nn =

0.65, 957o Cl = 0.51{.&4 )

T1.A.2539 Curhan ,

{nuft lMllett,

au.Fnr) Rimm.

A Prospective study of dietary -1undr.r{rleaf,c1n

Calcium and other Nutrionts

and the risk of sJmptomatic

kidney stone

Prospective study of

beverageuse and the

risk of kidnev

stongs


J:lvtvt 3

4dc - -ecff'a1tuun1t lqil

eiluurLmrnrr"l-{Et

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rsruyrrq6u'rJnnm;drr.nnrtu{lu{orssuuriu fiumumufroqnr:m'jt{ud 1 nrng1nil - 31

fimrnrru fl.fi.2538

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t.ilrsnnefcodr{ tduri {lcudrffifrntfntn lulr.rlrsrurn6utireuuriu ludcl'daareJ.rena.jrlrdounrnglFrrJ fu r6au fruernu fl.fi. 2E3B un;n{uoTcodr.rluqurufifiarnnrrnrlqn,tl

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! tp1-Pgl2 x r

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1+r

t=no,

n1

olt n1 = dlilcuto{ case

n0 = nitutugort control

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c1nn1?yruymuranntmui{rdriflm tte t

lfi R6 = 27.3o/o =027s (find'luso{ contrd d E*p"r" riaflqienrrfuilftrnufrr.Jn iitt.r)

Pl = 40.9% =0.4@ t drrchutorase d Expose siaflq{snrrfiJrlrnrufrr.lrufim I

F =.2CI9+1(.273) =.341

2


4t.

O = 1-.341

f =1

1

= .659

=1

uvluFhlu{Fl? nl = ( 1.96+0.84 )2 x ( .341 x .659 ) x 2

( .409- .27312 x1

=191 f"ltl

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ncrrudtunmfi rrjeyyrru / rdau


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100

fir ultl n. fr:ilevnruarum,irnrnrrfu.:tuffn{:lrru.*^Fo^ v u4 fr,nnc.rqndunrti 1 uruFo .,'lfrnvuuu = 112 x4= alg unhnf,ryrdau

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(hens too.o)


47.

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48.

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rflufnsns go.7 unv w.o nrrudrrru ram.:r.ndarh:ia ( $.oeffi 9.0 uar o.zt u.#.ilrvrlr (?asny

s.3 unt r.+l riaadqndofiraenunlnh ( hany r.0 Bny z.+ t uiarGeu:lrymflsa.:rirdt#r,rflu

:l rsdrranr'rl n{x fl nrr un ;n riu nru qt udcr,ru.ir lri un n rir rTu I p= .21 o I

tfioqntfircdfi rilrvilrutflujavdr nrlruflnwrua;nr!runluqru r{.ru1rar$furlranrufi1'l

nafiElrtflu:lav'{r finrfluhflnv 9s.7 unv $.3 nrildrdu drufir{rt{rfinrefurir:nrurjry{rrflut a Y" | 4 | a ^- )

s{rufioe rff.rlunritfinmunvnrirneu4r 6a $asns 4.3 unr o.z orrrudrd'u uayrdsr:SErurfieu

tfirrsadt'ldfrr:irwrrurflurlrc{r earjrsnr{rudnvrunvnrjrn"ruqruufi"r flu.irteiunnri,r.rrfu

(p=.2841

&eynarlunrrfirrlr:m,tuffrr rufl fl c lunrlu fl nur uavneiil n.ru qudn tl"-rnufire

naflertflulav{r r{culrar!fu:lrwrtrmrflunnrurun.jr zo fl Aorfluhflnv 9B.o uny gg.s a1N

drd'u


49.

rgfl ymnltunr?fi n h:fl ru,il'l"rr{1 tun{lfr nvrdfuilaanruffrnr{rrflurJeydr drulrad

cshnjrvnrumrflurcnr <= 20 fl finrflufnsnv 60.0 d.runrirun.ruqufiir:rlennruffr'rr{rrflurj*,4r

d'rulraqjfr.nJrrnru r rfl urenrurun'jr zo fl 6 or fl uh eny z t .+

nrrs.rrjayrnruorurrficsu n{ud'nadr.:#suiln ftrdr:rnruarur#flfir3ur#s z2g7.6a

*r n /r6ou lnu n r!r.r d nm r{rulu4j filJ rr''.ur.".#fi fi dil q.:ndr rnrudrade 6n fi uf€ ens s8.6

urinr!runru4ru r{au1raqjir.rilil;nrua'ru.#fi*'.,tu drn,jT rnrudr#e finrfluhflnr ru.g u-rdor:Jisu

rfieun''raiuilavuruorurefi.iiuwu'itnriudnvlunvnq'unrnuquud.rnu'jT fincruuqnrirrfi'uoeirl

firiudrA'rgn.oodfi ( p < .00011 taaffinrlesnrua'rurrfiaiu6rn"jtnnrdrade filanrnde.tria

nrarflulenfiea;quvr,ufiuflos{r.r;druuu 3.9 wir mr{dfu:lranruarqrrfiriudrn'jtnzudiade

nmfi-njrrnrua'rumadnmrnn nrll.t6'radT.:fi.ruuafi.r:lrvnruurr.#fioan{1mFl

*du ess.zsr.rn/rdau lorunriufr nnnunvnriruneuqr r{ru1ur$iurJrnrua.r.#fi ,rnr.,u,,i.n.irtnruvirode fintfluhflnt bo.b uat 7b.7 nlildrrTu uiaulieurfieuflq{enmfillevnruarurr

oanrltnn ma'jrrnriuflntnuavn{un'ruqr.rufranu,jr iin.rruunnoir.rriuadr.ru'rftrdrd'rgvrrsnfifi

(p < .0001) tneffdffu:Jarn.r.t.u.tdfioonqtnn q.:n'hrnrudr#e fihnrnde.:eionrerflulrnfi.J

rvuumrufiuflnar,rvs{ruuu e.r wirm.r{dfinJayvnuatrnraonllmqr drn.jtnrucTrade

ntfii:lrvm1uorumunnrfieil nrlr.rd'.rodr.:#suuorfr:rlrvr.ur.r.#fionnrdsrJ r#El

19G3.32 rn/rdau drnr!ruflnrnunvn{uncuqru dnulur$firrlamrua.rr#fi*urdflildrn"i,'rrnru?i

#s fintfluhen; 06.7 unv zo.o nr:rdrfru riljorGeilrfifluntfuil:firuorumunnn'gu

mairmr$ufl nurun;nrlrmluqt ufrnnu.jr triunnrir.rrTu ( p= .48 I

t.s fq{sdrunrfllu (r.r.od z )

nredrdcfl6celrndffoluauurrl nriufrnvrunrneiuncuqu r{culraqj'u.r*firJec,l6nra

r{urlced'lelr^dfrror.uur..u1finrfluhsar 98.1 mr gg.b nT udT du firfisrs{euriotdil'ilacifinra

r6u:-1'rsdrelrudfrsot o*ru1 finrrflufosac 1.9 $nv 0.s qrruc{'lfru uiqnlitnrrfisuflq{fldrunra

r6u:lcsfieelrtdffaoutut ruleua.jtnrlr.rflnuT unvndr.rnru4uuffcnu,jrlriunnsirrfiuflr{afifi

(p=.372l.

I


50.

rgtgrenrlunrfl6, rdcu,loshirndaulucilsnrrr drufirnr$fl nlnun;n{uuouqudfi

:Jacifintr{udesfieelandfiaouuuu.ul?u r{'ru1ur$firvssrcnltunrer{urJ'rel4aXrimdoulu'r

fiqnrs:lmrsu 1 6au hnrflufnfln;7s.0 uns too.o n,tudrdu

rjes{Bnmr{ud'rsdhfltrnii.rilr.!6uflnnres1uu{rurfr1nffan n{uflnurua;n{unruqn

r{ruXrarg'trifirJes6finrar{udffidaelrnijrnrrduflnnmv1uraqirgrfilnfrin f,nrflu$afln v 52.4 anv

aa.a drun{ilfinu"t un;nr!runauqudul*mn1fl{urlasfi.retrnd'rflN6uflnnr.ry1mrqirg,lfi 6rl

rflufosns 47.0 unt to.z rnrudrdu nrdor:lifluffieuil?s{fintr{u:jrsficflIenfirenruvrnrhu\

:Jnnrevtuuqirg{AtnffAnmadT rnriudnmurun{rn'ruqr.rufi'lnu'i'r finmtunnri,rsrYuadtil'tftt

drd'rpvrrmfifi (tp = <.m1 rlneffiilrmnu{urlffidfrabndqvlr.nn'xr6ra]nnra;tuu{rg,rfiIr r

1nffin fitanrerdtnriantrflulrnfimgum'n6uflnntrvr{euuu fiu s.oo wi'r mqdhifir}vffinrer{uhudrelaniie?alunT .: rfir"rfldnrevtuuqiqrfitnffi er


51.

n1fl {d s.,irueuun ;h un;mrn{u d'aa drvir uun orru dnsm"li.ttfe eVl Innl*ilgiletll nrjr.rflntr-r (n=210)

,iruou ($oen;)

n{runru4ru (n=210}

4ruru (iafln;)

/ ,r^Crude OR .959o Cl of OR

elll2v2sil

3G3e fl

4G4e fl

5C5e fl

oofl{utj l

f r s.d.

min - max

I1Tfl

{1El

urDr

dnluJ]1yt8{lJtfi

lnn

ufire,usir

uoi+rruaqjdcariu

uriwruuunrYua{

nrrdnu,roreAN1NE1ilfiEJilfiNLfl

-lritdr?Erumf.:da

-rJrsnrufinrrr

rioeilfrnl*ldutl

-rioeilfinln

ard,rfimfl

4erruflnvr2

I = 0.0239,d.f.= 1, pvalue = .877

24 (11.41

il (25.71

58 (27.61

51 (24.3)

23 (11.0)

4.31 all.&20 -71

115 (54.8)

95.(4521

11 (5.21

1215.71

186 (S.6)

1 (0.5t

187(89.0)

3 (1.4)

184 (87.6)

23(11.0)

13(6.2)

4(1.9)

6p.e)

24 (11.41

54 (25.71

58 (27.61

51(24.31

23 (11.0)

M.57 711.74

20-70

115 (54.8)

95 (45.2)

6(2.e)

27(12.91

177(U.31

186(88.6) 1.04

4 (1.e)

182(86.7)

24111.41 1

17(8.1)

3 (1.4)

4 (1.e)

.57V1.925


onm{d o. hunvmrnriruFlnrnunvnriunruqr.r un;nmruftir{urfrr,r.ir.nlcisnrsuanlfirntrflu

trnfi.r en.tuYrr.r rfi uf Inn'n s6{euuu

dmnundbhJ nrlr|finm (n=2101

iru.lu (fosay)

nr$neuqru (n=210)

{ruru (hsny)

/\Crude OR 959o Clof OR

nrnlrgnailorqhmdn

orfint{uawru

-nunrnenflrun?

drsls \

ardnhl{ubr.rru

-frrntn1aftfurfie

unslJftfrl

+giriru

-tftd:Jrnauardn,

I = .@0,d.f.= 1 ,prralue= 1.(X)

114{tf3)

s![5.71

3.26+1.85

.f = n.'tsod.f.= 1, pvatue= .00@1

ersMrarnmunFrsiardau

<= 20{X) U1?l 94( 44.8}

2001-4m ufl 48l2a..gl

> 4000 u'T1t 68{92.4}

irs.O. 4ixB.33 te4.44,

X = . 201, d.1.=2, p-rralue=.$)4

179(85.3)

16508.6)

14(6.7)

31(14.7)

21(10.0)

q38)

2(1.0)

158[76.21

52Q4.81

2.$X1.@

$02.9)

4W2.st

72(U.31

4671.S a5*55i12

1.0 0.6891.715

1

2.56 1.693.87

J12-1.717

.63S1.780

179{85.3)

170 (81.01

e{4.3)

31(14.n

27t1281

2(101

2(1.0)

<= 3 fir tffi)anf

> s fiJfflnnf

i t s.d.

1.106

1.059

1


53.

nm-{d G (sia)$tsnvsarn{lflnu,runvnriunuqil un;n?1!frur{'ufrr,r'jrrils{snrsuonfiu

dngnr:;vr"Jtl nriruf,mre (n=210) nriunr.ru4u (n=2101 crude 6R gbyo o of G'iruru (fnsnc) 'iruau (Saenc)

mfltfirqdflrnurdau

< 1@0 ufl/nu/dau 148t70.51 141167.11 1.05 .trJ7-1.8n

10m.19@ urvr/qr.r/rdou 3b{16.1 42eonl .&ts .41sr.673I

>= 20{x) urvrlAwrdou 27(12.91 27112.91 1 -

ir.s.d i 118.4231612.19 1102.71t1524.99)

t = .806 d.t. =2. pvalue = .68JV

n1?nuu1

< 2m un.6u 110(52.4) n l#.71 1.$ 1.286,2.ffi

>=2(XD iln/fi{ 100(47.6} 1frt{6.3} 1 -

Be.d. 1831.t13 + Gt5.67 210.24xn5Jg2

L=10.497, d.f.=l , pvalue= .(D12

rjrmrnmqlrdt#l rtlrnjsdr

rhrio rqe.o) 13{6.2} r.607 .72+s.1s7

hfldrhdo lel(el.ol 1e7 (e3.st 1 -

-fiTurependrrh

,f = lzle, d.f.= I ,pvalue= 270

182(86.7) 189(S.0)

7(3.3) 3(1.4)

2(1.0) 5Q.41

rfi eqasfiredS-nJ$m,rurfl urlssdr

fiT'rruiig,r mlitrtsJl 1st9g.3l 1.s95 .676-g.n1

{rrr{r 9{4.3) 14{6.7) j -

x,2 = 1.1N , d.f=l , p+alue .284


54.

n'rm{d o. ( sia } $osncsornrirdnu,r unvnriuncuqil unsn?1ilft.ndufa:ra.irsflq{mrsuonfiu

nmrfl ulrnfieaanuvrr Guflnnrcsdcuuuv el, Inn:gilwl.ttl1 nrla.rdnun (n=210)

d'u.ru daflay)

nr$nrnuqr (n=210)

,iruru ($oflnv)

, Crude OR 95% Clof OR

rsfl grcnrtunr?fiJrlr:mrirff'rarufifl e *

<=20 fl

>20 fl4(2.01

197(98.0 )

123(58.61

87141.41

N5.7921T17.$

rgfl s re n rtunr ?fi nl r:mru#r.J r{.r. "l

<=20 fl ' 6(60.0)

>2o f, , 3F3.3)

ntfiljrvvrruo'urrfifru

104(45.9)

106(50.6)

859.761798.41

70(s.3)

140(66.7)

>=mrud# u b=1z87 iln/o)

.rnsud#e kzjfj7iln/n)

tts.d.

12= 45.085, d.f.=l , p+ralue= < .@01

nmfi n laryrT ufindfiaonqtnn{r

>=rnil?ir#H b=635 iln/n)

<rnmdr#s (<lst iln/n)

<rnzudrqde (<63b iln/n)

its.d.

x2 = 8.72, d.f.=l , Fvalue= < .0001

ntfi irjrlfl ruarnruan lEl fl il

>=[nfudr#g ( >=1s finrh)

Its.d. 2102.0\28.ffi 1824.62a178.Ut

I = .ff19, d.f.= 1 , p-rralue =.463

3(1.5)

193( 98.5)

4(28.51

1001.4)

55(26.21

1ssrrc.8)

1769.51+ 128.87

51Q4.31

159f/6.71

411.741M3.61

63(30.0)

u7v0.0l

3.984

,|

2.G|& 6.018

3.059

1

2.019 4.tr15

1.167 .n+1.761

. clnndildfu:Jrnrufirr ndaa* r qlnnriildfu:Jryyrrufrrt{,r


55.

n1fl{d z. hanvta.:nr!ilfrnmunvnr!runluqrunvnrmufruriufena'jr.nJq{adruJrifin,rn6u

dcEl

nrlrfln:n{n=zto)

4ru'ru(hEny)

crude Gn{r.rnaurtru (n=210)

{ru?u(henv}

95% Cl

of OR

mg\lrirne i

trvafue = .372 (ifvalrc by fishs exast test)

a.e6in 1 n6u:l e fl ft elrnfr c ?u:Jufl '!.! fiuildem gtffir{ru r fi

4(1.9)

208(98.1)

dN 100(47.6)

-H" 'tJ' 110(b2.4)

)I = 51.086, d.f.=l, p+alue = < .0(D1

1(0.5)

209{99.5)

32(15.21

178(84.8)

5.057

.45G 36.616

3.181- 8.040

n pl n n nr nar ncril dilfuf?:rrh{flq{fl dNfu nr arfl utrnii.r ea.runrr fiur1nnrasd.ru

uil c1nn1fi rnrrnid'l u:lfldm nu.ir

s{euuu adrsn'risd'ld'rgrn, .:nfifi ldurl mdrlrgtfir6urlcarfistrnihnanrvrr.rfiuflen,rarluuEi

rgrfilnfffin ( p<0.0001 l nT efi.nJavvrruarurefia?uqrn'hrnrudradet ( p<0.0001 ) n,witlunntu{.rludaT nvhu :.trnn.j'r s iUdilnlrf ( pco.ooot ) ntfu:hnrua,'ruroanmmn6ln.h

rnzud#s ( p<0.0001 t nmdurlT rlofln.ir z00o No/{u ( p=0.00r t s{ruf,q{#kifinmudur{ufrYu

nT arflutandreruun'xfiuflnntrvdruuu lfiud mflr5jtlus nmfi:rlr:mtuorureunnrileil

n'reft::JavvrT ufrrl nafifl r fiurJr{r nrar{urJaedretendfrauauulu.l ( nrm.rd g )


n131.r1a{ I Hnnl?rnn.rrlldnr{ufr:;tr'ir.:flq{a0i'r.:lfiun, rrflutrnficennmrrfiuflanr?vs{ruuu

qr n nrri nn ndd'e uilardec

nr ari. l rv6fi r6u:-1.rs d'Jstanfieevuuvnr r6ufl ne r.lytuuqirgr 6tnffi or

nrrdmunnr':u{s1#aT nrfihu urnn"ir s fiJdrln1f

ntfir:Jr:mruoprffi riug n.h rnrudradui

nrefu :lrvnruarhr:nan{1 mn6{r n'jtnrudrade

ntdlrirria un.l'1 zooo ra/du

n mfi d rwr rufir'r nnim rfl url rc,{'l

nmr{:::.leed,rfl Trnd fia.:uouulu'l

nmfi-r:l*mT ualratunn tdeu

n'rrfi vlfltfigornrrouni'l <=2000 il'rfl/dau

<0.0001

<0.0001

<0.0001

<0.0001

_ 0.001

0.2u

0.372*

0.463

0.904

t = pvalue by fisher exact test

'!


57.

2. n'r1rfilfl'ufrsr,r'irrntrflulrndrffirrnrrrfiurfaolccsd.luuufiurlrr-eoi, q frrsnr?anflf

Multiple Logistic Regression

. tunraflnrnnqrildrJr{ufean'irrnrerflulrnfiae;uunrrGuflds{r'r;s{ruuun'!flq{trdrder

fro.r inflsfunnnnmuurinuriurourtudur{uf,uuunr:inmvfnnnoflyrquuunainfin lna?ir

nmrdond'lu:lruuurflffinau (stepwise Losistic Resression) 6afinre6'prrdand'cu:hfinvffrrfirnru

n1? lnflnrflr'rficu:l#finrnrJfri.rr{ufriuntrflulrnfi?rcuuvn{rfiuflc{nrcvdeuurs, nd4orruT rfir

arunrarflud'ourn qrnrfuqvrflunrnrloT.ruil#ddqornhdnarrfrrnrunra r*iorlfi:rJq.rnunrflridduvlll

unytu{unauriall:lfiq;rird'"ru'rlrfifinmufrr.rr{ufriunmrflutrnfima:unrrrhuflnar.xdeuuuuoi

n;d'cdna6or{rn4n.*t lt dqortrifid'.ru:Jr'lordu'n'rruffi.rr(ufriunrnflubnfi.rr;uunt6ufldstl?t

c{ruuu qv'[

, .JJ eFt1{'lmnEJ,uo{

annr:i rnnvrf lnfl fi rnt6o nd'a url#fi n.Jrildilfufiiuntrflulenfim:aruyrrufiu

flaar.lvdruuulfinr.rnT #ruilT ;s{il d'{d

Loge {p, / ( 1-p,) I = - 1.8603+ 1.zldl99(FAM }

* i.zooo ( pu )

+ .8679 ( HOT )

+ .8037 ( WAT )

+ .6291 ( OX )

qrnnunrelfiliruunrirfrr urJr{u d'rd

.r lay,ifi nrerflulrnfimn ruyrT .r rfiuflnnra;luuqirurfilnffi n

_{ilhr"ruJ

r l ry66 n mirirl ffimuo rurrfi ,fiu

>= 2297. iln./ 6ou

< ?287 iln. / 60u

FAM

1

0

PU

1

0


58.

HOT

1

0

WAT

1

0

O(

1

0

uanclndd{nrnT.rlfirh sensirivttv T0.$l Vo,sir*ificitv 72.41 VotraKrlTrnirurenrlu

d"rodwhaflunriufrnm#an{unnrqillfiliauov tl.Gt d.to^frfi..nnunrrdrndm dtnm

dmrT nrir o&s Rstio luwlnsflq{atdf,d r ".ttod

g I

ilfi{6mrrflrrlmdhflrruirureuflnerxd"uuutnr{ru1fi1nffi o qrnm$unrpfd"r

ruJarisfiamui'lduo.uqufl r{ofrdffi amufrufirifiTuntrfl ulranj'rnrurm'n6urJenms

d,ruuurfio n{ildza?hdrgrfilnffiaihJrdhrnrrflulrnihmnnrtrf,ralnerr; iihnrnrdulrio

mrrflutrnd'rnnnnrrfiuflenregd'ruJurflu a.ag sir m.rn{ufr'ratirdrgrfilnffinhifirJsffi

ntnhirftotrnihmnrntrfiro]nem; (p < .@t l

nr nfrrmunn, s u{.rLuda r nr ahu

> 3 {uldrjntf<=g ful frrjnn{'

< 2m iln./iu

,>= 20@ Un. / {u

!

e , -Aan1t:ml En1llfl rmiloD m.rtn nI

>=635 iln./ 6au< 85 iln/dau

nu*rffirir - 2 Log Likelihood = /fi7.81

Un;8n11$t1lll1;6ilso{t6$ffi3 ( Goodnees of

nm$rqlJ1s6u(p= .3ggb I

rrt I tosl{ chi*quare mrCr eunrrdfi


ntfirrlrsnruorurnre?u qrnnrfi rrnnfd'rurlerfi l{aurnru'irda ncu4ufln{aduldn

^"rrudur{udrTunrerflulenf,eranumr6uflnnl,rvd,ruuu ufinnu'jT nriuficaeiT.rdfi-,tlt.t.u

o,rrarrn',1?u6n.irmruviradu(t=zze7 un/rfiaufiTanrnrdflsriontrflulrnflmmurNfiuflctnres

d.ruuurflu 3.sg ryirmtnrlud'codrsdfidr:mruotarefir?ufiafln'irrno$it# E\< 2287 un/rdsu )

(p < .0001)

nrnimunnru{fl#ornrnffnu qrnnr:6mnnid'cu:lrri.rfiau nu'jr uianlu4u

fle{adu1dfinerildilfiufriunrerflutrnf,erarunrr6uflnnrrsdar"niuufi?flu'jr nr!rud'codrtd

rirlrunaru{r1#arnrnrnumnn.ir g du / d:JorTri fitonrs{dflssianTerfluXrrd'laruuvrrlrfiu

flanr$deuuurflf. z. 3g wir msn{r.rfiaodtdrir.rrunnrsu{.r'[#a1n1fifnu <= 3 du / dtlnTf

(p =.@03 ) r

n.tdutl\ qrnnrfi rrnnfd"r u:Jer6l{ou vtu'ir

nrarflulanf,6:muyrlfiuflnamyd.ruuuufirnu"jr nrluff'radr.:ddlr1rfiafln'jr 2000 ilndu fl

tanrc{ds.:Fiantrflulendorour,.orfiuflnntrvc{ruuutflu 2.23 ti.t to.:n{rfieodroddufi.f,.

uoi zooo un./{u dul:l t F=.ooob)

ntfillewrrufindfioa nttnn qrnnrfi mmnfd'c u.rlrrfi sfiaunu'ir rdaacuqr.rrln{tr

drr1dfiô.udur(ufriun,irrflutrnf,cr;uunttfiurltglc{r'l;deuuuufilnu'irnr!ufi'rati..diu

:Snrufindiioonsrmor qrn.irrnrudi#s (>= 63b iln/dou fitonrs{dwsianratflulauf,o*ru

yrr*fiuflnnr.rvdruuurflu r.88 uirmrnriudhad'Ndfirrlr.,.ufindfioansrtnndrn'jrmruriradEl

. ( < 635iln./6ou) ( P = .01M)

c,lnntd,lu'tnruratruurin sdutalnc'lu durfuf ulunrm rnn:nf,dr urlari'rfiau

nu.j,rfl q<sdfl {dfi nerilfri.n(ufrTunmfi ulrndmvuuvrnrfi ufl nnrqsd'lul*.ndtltoiontuqlJ

fln{rdu1ufi.rdo :Sy66nmuflutrnrfiranuurr Guflnnrav'[uuqirgrfilnffB or lnsfi rird'nfl dfl ld*r{vrf, a.ag yir s{.1uflq{flrde.rdfinmrufri.n{ufrTunrerflulenf,'lrruuvmrduflndtQ;shwrutol

nrrur 6a nrefi1lrnarua,rra,rrfi"fiu6n'irrnrurirads ( >= 2287 un./ r6aut , nrRirlrunarsu{t

tudarnrnfqu, n rdurLrioen.jr zooo xn.6u un;nmfid*mrurTndfioonfl1mnq{tn'j1nruvi

,#u t >= 635 r.rn. / rdou t tnefirird'nmrdssd'rurdnf e.sg , 2.38 , 2.23 aav t.gg st''lildr6'u

t ,.r..d g t s{uflq{ndkifin.rrufrufiufrilnmrflulrnfines:Juvlrtrfiuflcc{r'lcs{'ruuu tfiuri

's1fi ordn rAo,r,odrd'Hdr.rrflurlev{r rfinmrfr1'rdfu,Jr.t.urflurjrv{r nTfuilrunru

a'utunrn tEi fl il un:xJrvi6 nrer{udledrebnd froluouulu'l


60.

ellt'l{vlJ I riT :Jrahrunrnfirnofra.rrlns-arirqriunrrflulrnfimcrfiJflrlrfir"rflnn'ydruuu

unvnruutin urium.r nmudlc{ufqrnnrrirnrrvr,f, Murtipre Logistic Regression

'S.E. ( B) Adjust OR 957o Cl ofG

prralue < .0001

1.rNl99 4.8 2.815 - 7.135

2.203 - 5.694

1.608 - 3.831

1.416 - 3.523

1.159 - 3.036

frnlfirnruolutn-c?u{an.jrmrudrodfl ( o= 2?p- iln-/ldnur pvarue < .0001

1.2606

pvalue = .0003

.8679

dilrlrriosnn'r zo00 rJn.6u pvatue = .000b

2.38

Pvalue = .01O4

1.88


61.

n1r1{d 10. ujiflurfisudl crude oR riu Adiust on m.:flq{Erdfin'rruffiJfufriontrflulmfi,l

enunrrGuflddrevd'ruuu

Crude OR Adjust OR

5.06u':l rv.56nT *{urice frc elrnfi ervuu 4.48

3.53

yr t rhufln s{m vtFrl{ rg r fi lnffi or

3.98fi .rrJ ayyrruo rur qfi ,fi u6.: n"j T rnrudrad e

(>= 2287 run. / rdau )

2.35

2.23

1.87

2.56

1.90

3.06

rirqunarru{rtufiarnrninu > s {wffilnT f

dilrlrr1genol 2ooo iln/du

firrlnrrrualulman{1 ran{{n.j1nrudladfl

( >= 635 un. / rdau)

a Copyright by Mahidol University

62.

on1?Ft1U?

dtl{o

tnel{6orrd'rd t zg t

P(Y=UX'............Xp|=,||{1+exp(.+p'X,.

a = constant uatue vilfiqrnnrfinnrrfrun ( = {.8003 )

ft....Fp = coefficienr value sa{eTeu:lrurinvde do rau = 1.4!Xl, PU = 1.2606,

HOT = .8679, WAT = .8037 , OX = .6291

x.,....xp= drnm*zu;:lold'cu.lr6nevdlfirrfluflc{etdfl.:= t,hirflurJq{fltdti.t= o

I

nctrlim;rflurornreriflq{edtN?t{ s flq{sieilrTu ( rnru ,Jru , Hor, wAT, ox )

=1/[1+exp(-({.8603)-1.4s,99(1)-1.2606(1)-.8679(1)-.8037(1)-.6291(1)}

= .9609

eqrJaanrnarn.irsJdrufiuf,ana"irsnrarflulenfi'1filuvrrtfiuilnnr.rvdcuuuriufln{uoir.r1

fi?Elnriarnfl:;tf tvtuttipte Logistic Regression l{u'i'l flc{adfin'Jufrur{ufriuntrflulrnfirraruvrl{r

fiuflnn1r;dcuuu tdfuri nr:rirls66nmr{urhflfirebnfirruuiltGuflns{mrlur,rqirgrfilnffin

ntfi.nlrynruatarrfieiu6.rn,irrnzuvi#u n'rfll?vnauarfinnnr.ru{fl#o1n1rthil >s {1.il6:ln'rf

nredrurlTriasn'i1 2000 rnduunvnmirrJr:rnruo'lu.r?oonfl1mn{{n.i1ulrudi#e u'dorflrderril'lriu

4.48,3.s3 ,z.ga ,z.zs uar 1.87 nrildrdu ( r.r.od g ) tnentri:lffiifintr{urhsdrfltrnflmruuilr.r

rfiuflaaT 'r;tuuqirglfiXndinrfissilq{ardeqfilanrnrflulenfica;uun1ufiuflc{etr;s{ruuuldfoflny

41.09 urnfiflq{enr?fiiilrrn'ruau1tfir6u6n'irnrusirodsieildfre qailonrnrflulrnfier;uuyrr6u

fls{nmvdruuu ,fiu{t rfluineav 71.10 ua:nnnrfiu:Jq{enrmjevnauardnnnr.ru{.r1#o1n1fihu >3

{wdrlntf :lq{rlnradrrrlrfiofln.jr 2000 iln/iu rJs{snmfir:Jr:nnrua'ruliaonxlmnqrn'ltnrud

radflrfttlfur.rficefincflq{e fiqnilanrnrflulenfimvuunrr6uflglc{mcdcuilt dudt ,tqrflulnens 85.42 ,92.90 unv go.og nrildrpru t orrn.rd tt t

nrdrurenruflq{ede{rir.rljrnvrimnrioerfie.ltn t finrfludr Probability t lorfll{oTruija s il,t

oJngYl


oirrl

HOT Probability

X

X

X

X

X

x

X

X

X

X

X

X

X

X

X!

i_

rx

X

X

x

X

x

X

X

x

X

X

X

x

X

X

x

x

x

X

X

X

X

X

X

X

X

X

X

X

X

X

x

x

X

X-

X

X

X

X

X

X

X

X

.9609

.9290

.9166

.9116

.874/.

.u75

.8il2

.8460

.8219

.7571

.78n

J451

.7450

.710/.

.6970

.6084

.7110

.6242

.60sn

.5668

.5667

.5508

.5073

.4530

X

x

x

X

X

X

X

X

X

:

X

XX

L'

39956Copyright by Mahidol University

Fr1?,.,od 11. (ria) fanrgqnarurirq;lflurarnrrflutrnrflcmtuvrNrhuflnc{tlvc{'luuu onuflq{e

dwoiTq

WAT

\

!

t-

X

X

X

X

X

X

x

.4102

.3947

.4109

3544

.2704

.2580

.2260

X

= triu'flq{flrdflr

= fiflq{erdnr

FAM = nTfi:leyifi nTr{u:Jcfl fi'relrnf,cil'll6uflc{s{r"JytuuqirgT a'lnffin

PU = ntrfi::lrvvrluorurrfiq?il61n'lrrnrudrodu

Hor = nrnirlrunaT .r ufttudarnl fi FauJlnn'jr g {Wftlnrf

wAT = ntdurirrioen'jr zooo ila/{u

oX = ntrfinlrtvlluollllmomrnnfiofln'irrnnrdradil


urd s

afirlmuarn epJ unv{ornuouut

ê !. ta- |n't?eesR?{tutJ.JnQU?yfi{drdaanmflq{erdfluarnTrflulrnfioet un'tothuils{n,l'Jv

druuu dafle{enrfluon ldnd nlflltsnauoTfir'rtudnnT.:u{.:un;otnmlau nnrnrnnrgfindr

nr#ufirriafl qTrfilJernrua'rulrunnrdsil aant, rnn fiefir ff'nruflee flq{flnrfltu tfiuri

rhdfin'ur{urlcdftelrndfiauouurul rJrv.5finmr6u:l.rfldeslrnfier:;'uuvntGuflnar.wtuuqiaqh

6U1n nnxn I

afirjmean'

arnntfilnsrrlq{srds$arnrarflutrnfiorrrrr-,n.ornûrlnarcsdcuuu uldan-q1?ntt

. e e hv - 3unn:illctEtaalan{u

nrrfigru nlnl*nauardnluvrina'xuftua;a1nrnfourflulrc{r rdarriontdu

lrafi m:aruvrr.r n ufl d nrxr{ruuu

nrnirqunnruftludarnra$au n{*rfrn:*runvn{unruqu dculuqirJevnauarfirr

rnrrn?nfiru (ineay 81.1 unr 28.6 ) fie;wnnrtunrni.o'',u1#nu.ruftunca''rnT asaurads s.ze

fu d:Jntf uns 2.,4s dwfrrlnti lorefi?rwnn'rtunrni'xru1#nntuftualn1n1fif'0u > 3 {w

d:lortf finrflu5oen; ,4b.7 uay z+.g n'urdrd'u r{nnrelrnflvrfd'rurlrrdflr vru'ir nrnirmulud

nn'nu{run;ornrnfnurflurjrv{rfinmrudlr{ufrTuntrflulrnfims:ruvrfir6ufls{nmvc{cuuu odrr

firierdrd'rpvrNnfiA (p < 0.0001) ( r."lod e t tore{dri'xrtludn^rru{runvarnra}ou > 3 {w

frrlntf filanlnrderrianrerflutenfiervuilm{6uJc{d1evc{ruuurflu 2.G rvi1fla$driT .rruludnaT .r

u{luavarnrfifau <= s iWdilnrf unyqlnrlanleiunmtni'lnflt{ vuttipte Logistic Regresstion l'tu

.jr donr.ruqufln{udulude nT niro.ul#nu.ou{runvornrrtinurflu:Jrv,ir frfinmru#rri'ufrTu

n'rerflutrnde*uunrrrfiuflgqcqrrvdruuu rdurde?fiu (p=o.ooost tr.rlod u toru{drirvuludnnrr

u{.:unyornr nffau > g {la/frilarf n'TonT nrdm tflu z.q wiT m.r{dri,.rruludnaT.:u{runvamrn

hu <= siwfrunrf drne.:riueuufigT u unsc{onnfiarfiu ntrfinsnra.r Fenie uns scott ( 46 ) dr gJ r c o a f,-{ e - dr . a

rru.lT {firJrvnouoriyrlulewruqnnlunaruuruunfifin.Jlilhu$ fidnnnmruqnsarlrnfiemrrfiuCopyright by Mahidol University

66.

:llnnrrs 6.rn'jruarunduldqnruqfidrn.jr nmfinsnsa{ Borshi unvnils ( ae t dflu.jr {drir.:rutundornrnfou (29-31'c) fid'nfln'rrilqnga.rfirtnqrndr {drirrutuddu'qruraqfi:Jnfi (24,27"c|

(p<0.03) ntflntnsol qsgc{ gfeurriorrf ( 9 ) unvnesm?.r6161ril4s ( 16 I dnu.jr ardn

n:snanrriJtJ'nrruqntollrerfirvrrlrfir.rflcarc;q.:n.jrordfldu d.:otfirnrnr*nrnafl{rfluorfi1dfiol

drlrunnrtu{rludaTnrnfnuunvrdfl#orurnrfludrulur! nmfin:grm{ pin uaynruy (47 )flu.j1tunriru{drirlrunnrlu{luffirAflruiarurnfin"rrruqnqo$rnflrnrufiuflnar.rr qsn.jrnr!e.rdrir.:,ru

tudru s rviT dmGu, ellfi'ir nrnir.rrunnrsu{.:un;ornrafaurirtri finre4rgderri.n.o*{rurn d.r

arntfr:J?meunoqflnarcvnnm unvfinmrurffr.rfruqs( Supersaturation ) drrflunr.#ti,rttre,.rrnyn,.lrl

oirq'luflnar.ry:l'Tan,re{ud'"1 rTuuncfiaJuln n1e rfl ucrdnsolfirld{re{u

I

nufiSru dn1il MnrSfi q oir rduldonrerfl ulrnijor;uuy,rr mulnem;druuu

g{nrflrfifl*Sfiq nr!rufrnr*runrnr!run.ruqr r{u1ra4jfinnt^rran*gfind,r 6ofi18flfua1

naaunfie <= 2000 urvr/rdau finrflufoflnv 44.g unr az.s nrildrdu finflldtnflrad€l <1000lJ1yV

nwrdau finrflufotrav 70.5 mv ez.t n1udrdu ruanrrinmaffrrurl*deronu.jr nn.rnrnergfud,r

lrifinrorrufrHrfufrfunrrrflulrnfi"Ja;t-ruvrrr6uflc{nro;druuu lnun{r.rfrnr*rfirre1fi <= 2000 il1yV

rdau rain < 1000 urvr/rdau r.r'4rutu.nnn,lrn{r.rnrury urihin'riudr6'rgvrr.rnfifi { p= 0.90 unv

o.oz nrlldrdut ( tataod o ) unrqlnalnntQrn:lyri|qal{ tr,,tuttipte Logistic Regresstion nu.jrc{nlfltrltH$fiqdr hifinetrfrrur{ufiiuntfiulrnfierauyrrrrfiufln6r'r;deuuu rdurdsefiu(p>0.05) ttT.od gt d.rhinasriunrurufigruusinaornfiorrTunradntnsol nufifi u,taqE{finfi ( a9 )

dTru'ir {:Jtefirlormnnt6nnrruarnnreinmrflu.{rut*.lrnfil t tu g d.rflrpurd'snd'rerfi'dujtila{trltqlnn1TJslnqu rflurtrnar;udn winmfinrndlneirq hilfirarn.rrilfrlr{uf,raa'h{rdnltl

ram*SfinunvnTrfluTrnrf,'lra:uvt'xGuflddlay uayfi.rrui.jrnnnradnrq,rlun$.rd.rhiourc,ru

dl.,tti'uf,sa.rnnrnrnn*gfiqdT riunrerflulrnficrvuuynlfiufls{amydruuu d.:orcrflur.taduoumrn

rlffitrnrdruluqim{flutrddnrnru}T rcarnouaqjufia rirtriu.r*nufiouqnri,x d'rrlu6.:ei,r1rid1il1?n

g{ilngru n.td,.rtl'ltfutr rdENtionrrrfl ufrnfirruunrufiufndrr;druuu

J ! . n t. I vntdrurir nr!rudnurunvn{runru4ru dfi:F,rrunrrdutl,r < 2000 iln/{u 6nrilufu fl nv

s2"4 uavso.z losfiilhr'',run'',rduti.,#u r$r.+ iln/{u uav 21t0.2rJn/{u orrudrd'u ,rnn..r?

i mn;rina urjerd gc nudr n. rdur5, < 2000 il n /{u r.r' nc rru durffuf,rTu nr rrfl utenfie rar_mr 6u

Vlrtu


67.

flanr,rvd,luuu aeir.:firisdrdrgvrr.:nfifi ( p < 0.0001) tnru{ddrurh < 2000 iln/iu filanrc{dtl{rflu

t.9 rvir ooo{dd:.rr5t>=2000 ilndu(n1flod e t unrqlnrlnnr:irnryrnibrut{' muttipte Logistic

Reiresstion nu.jT danrru4rufln{erdu1od., nredurlT < 2000 ila/{u fil.r'nme.rdurfufriunmdulrn

fi"reruuflr{6uflnc{r'rvdquuurdu6fleriu (p=o.ooos) (r."rod st toru{ddufi.. zooo iln/{u fi

lonrnrdmtflu 2.2 t,i.'t ro.,frddurlr >= 2000 iln/6u dsnnfrunrurufigru unyaoornfiarfiunt

dnun pin unvnilv(47) dnu.jr chronic dehydration rfluflq{sdsodAr;rgdqnm.:nmrflulrnfi'l

aanuvrr.rrhuflddl?c unvuuvurlfifinrnlarriuod'Niru$nanrerdu Fluid intake nmfrnrnmr

Curhan ttnvnilvl( 52 ,53 I ( Prospective study )frnt*1'lufl ZSZSZ533 uny 25292535 dnu.jr nriru{

rl.Jfllrnfi,rtn firl'rurrunrru?hn fluid intake rioEln,jrnrirunrruquodNfirhdrd'rgvrr.rnfifi ( RR=0.71

un;0.65 ,957o 0 = 0.52-0.97 uat 0.514.84 nrudrdlr ) uoiarnnmfin*uir{ornsir.:qrnnmdnrsl

ffi{ Griffith unvnfuv ( 28 ) unvnltfln:*r:rol Power unvnilv ( 50 t dnudrnr!ruffrJrefi"ilnuarnriu

neuQru fir-Fr.nrunredufirtnflradehiunnoitfr'u nrrdntnzo.r Borghi ununruy ( rm,b1 t dntnil

zssg dflu'l'r nrirud'radrrd,fludrtr firFrurrunredilrSrtnaradnrio{u 6.rn.irnr!runauqru adrru'ria

drdegvr,.rnfifi 1p<o.oot) unvfinmfl 2E3o nu.j1neir.r{rjeudcln u':$urruso{ Fluid intake oia{u 6s

n.jrnelun.ruqr.radrrfiriudrd'rgvrrtnfifi (p<o.ot) tfodu.ud.oil1q1n nrailntnro{ Borghi $nrnzus

( 48 ,51 ) ffiunmfinrEruuu cas+control Study unvnredntnuuu Crossectional(dmrqnthlncrflEi)

d.:orqrflufloqnr1n1:iu:ro':{:1nu dvraT u'jT rflufinu#e unyo'rqlfifudrursrirt#r.rrlrurn1 rdoflor

fr'untndurfl*j.#. 6srir'[frr.rnnmdnmnu,jrnr!ruff:jcalend'rbr fi:l?r.nnr Huid intake 6rn"jrnriru

n?uqrJ dtafirntfin:g"rtunrF.rdfioqofifi.rnnredrunrsnfuflufioqnria#ff:Jaun:nnnud,rrflulen

ii.rvrT.:rfiuflnnrcvd'luilu u6rvs'lnr{nnlrdnr*rtunFrd aiu,te|lfirdu'ir nrrdrurlrfiaenirtfflnarcy

fincrufrr.rffu6 drtrXfiTonrc{rfinfl6nfieu'q.d" rdurde.rYuflq{ed?snrflirmunnrsu{rt#n.n.n

fouun;rdsril{oilrn

nrfiSru ntefi.rrlrvnruarurrfirdugrdarrianrerflulrndrraruyrrlrourlctr{1r;s{"ru

UU

nmfu:JevmT uatar#fifiq?u nalr.rdntnunrnr!runreu4u fi-nlanruotarefi.r?utpru*du

2806 il n /Ml'ou un; 1 770 il n /6ou H n n r :Q rr m yrfd'.r urlrde.J fl u"jr nr eilnj r;mruo 1urefi .l?u

finrerilfrufiuf,riun'rerflulr^dor*,uoro6uflns{rcvdeuuuodrriirhdrdrgvn.:nfifitp<0.0001)

( o'rtrod ot Ina{dfuiJrnrruorurrfiriu6rn'jrmzudr#er | >= 2287 runJrdau t filonrnrde.:rflu

a.o rvir mtffdfu:Jrenruorurefi,riudrn.jrrnruE{rqd rr ( < 22g7 *rn/rfiou } uayqlnruanrfirnar;ri

lertll{ Muhiple Logistic Regressrion flu'ir rfion.Juqrufln{rdu1ufi.l ntfilrlrwrruarumr{'ciuqtCopyright by Mahidol University

68.

n.jtnruziradsfintlilfirrfiuf,riuntrflulenfieffi'uunt6uflc{nrcvs{cuuu rdurdflefiu p<0.0001)

(r'l"'rsd st loru{diurJa:m'ruorumfie?u6.:n.jlrnruviradfl u'tqnrndflrrflu g.o 'wir mrffdiu

:lr:nnruorurafid?udT n"irrnruvilqde drntrrius{rrufigruunvcaerndarrYuntflntntas coe un&

nily ( s+ t dnu'irfrrhutenf,runardfluaanqtan u'nTni?hnarurrfirfi,rrurnn.lrnrir.rnru4u

odr.rfiriudrd'rgvrr.rofifi nrafinsrro.r Robsrtson unrnilv (21,55)dnu"jT n{ru{:Jrutrnde fi

rlev66nmfr::levnruotural:Jrdulnreradu qrn'jrnr!runuqr Insrafirvlilrduqrnfin{ tdmvfifir

?u4o unvdnmrfiwnna.r 'lunr{rutru4:rnrn:lnfi nu.jr 'luicu#frrtltrrruarurrtlrduqrnfrq{

q{qiflil uric 1acid, oxalbte , calcium tuflnnrev6.rn.iTvfl#lfifuTrlrduluavd'uilnfi adr.rfirfttir

drd'rgvrrmfifi nTeflnvrflo{ Zechner rrounnlU ( so )nu.jr tunrir.r{r.hulrnfir uric aciu finrnTu

uratentqJdnmJqm'irrisulfr orat purine loding adNfirifldrdrpmrmfifi nrefintnm{ Fenstrom

unvnrus( sz t dvru.jr lufrrJrudotnr nrrlfifuotarrhJeduq.: 6,jiu6r ) qvfirJ?lrnr urate tu

flnamv6n.irntfilJrwmuoruretrlrdudr ffidudr ) adr.rfiriedd'rgvrT.rnfifi nmfinsrmr

Trinchieri urrsettuc tsq dr{u'jr n{u{rJrudobrfintfir:lr:ntrruarutn-d"mnn.jrnrjruncuqu

oeitfiriedrd'rgvrrsnfifi nladnursa{ curhan unrnrur (s6 tdnu"jr nrir.r{rleeluritrnd.Jh fi

nrru?lnnarurrlrJefiuqT nfrnd urnn"lrnrlu neuqru usiaEirslrfi nru nmfi nrnnFrduornoirqrn

nredn:yrm{ Griffith unsnrus(ze )dflu.jrn{r.r{rJnufictnunvnriunr.ru4ru finrru?lnno1u1?

fie?ulnreradfll #rufnd'r 1 nn/{u lriunnrirrrTu nmdnmm{ power unynrur r so t dnu,jr

nufiS'ru

tJnnr.rvg{.ruuu

nrlr.r{:Jrerdrbrfinrruslnnro'rurrl:lrduqrnfin'ilnrerade kiunnrir{fiu mnarnnraFlnurlunFrd

oGurfltfid'l fi'#urfluflq{edckrnftrntriod'qso.:fie torerunrufinfiuEorfiremrfie?u6a nrnq?nr rr.r

nrafi.nlevnruo.u.rdfin-.iu6o nrfinrorq?n1ufladmv6{hyperuricosuria} durudlnr{raiiunuryr

adrr{n tqulun, rnr;{utf,rfi nnrmnrudnfie unnrdfl ilaon{1mrrr

nr afi.rrJsvr'rua1u1ro o nr1 rn n{{ rder rio n'lerfl ulandmcuun'nufi u

nmfiJrjrstnruaruraao ns'l m n n{ru d ntn un rnriu acu 4u finJrnnruo 1u1mo n{1 tn sl

lngr#fl:Jecu1il goo un/6au uos 412 un/udau ntrdrd'u aranreiunertn{d'ruilarder rru.ir

nrefi.r:Jrrnruorrn:nqn{1mn iinmudur{uf,rfunrerflulrnfimanuvrtfiuflng{re;s{eu:Ju oti'Nfi

riedT6'rgvrTtnfifilp<0.0001){r.r'odortrru{dtruilevnruorulroonrlran6n'irrnnrdradu

( >= G3b run/rdou t filonrarderrflu g.t uir :rorfrdfirilr:muaru'l?aantlrnndrn.itnruryTrade

( < 635 iln/doil unvqlnnnnr:Srnnni'Inet{ tiluttipte Logistic Regresstion rru"jr uiannuqu- -l v u | | . I a u e du a e I

rln{uauludr nmfiirlrvvrruo.lrl'rtoontrmorqrn'jrmzudraf,s firrmrdrur{ud'rfunT rrflutrnflrCopyright by Mahidol University

69.

?ylluyr1{t6ufl661?ss{.Juil1.r rdurfifllfiu (p=0.01) (orT nont s t tnn{dfuilr.m'uorm?aonfrlrnnq{t

n.jrmzuvirad€J il'tan.r6dENrflu t.g rvir tor{dfu:lrwrluolultaonstnndrn'irrnnrdradrJ dorro

rfuaur.rfiguunyc{onnfiorriunreflnvrro{ Finch unrnrur ( 59 } rflunrailntntivrornas dr^ru.ir

nmfi.r:lrryrruor,rlroonslrnn{lr qvfrnrrrTuoon{1mnrt:Jns{m;urnn.irnreft-r:lrvnruoruri

aonmrnndru6stridrrioro,ttal? uavnrefuilrvnlualilleaonttnndr qvfir.Br.nruoonqrmmlu

flc{nm;fi1n"irnra1*i4rrioralu'l? aei'r.rfiritldrd'rgnrrnfifi uriadT .:lrfinrru nmfrnurnirdunnoi'lr

qrnnradn:s,rflo{ Griffith unynily (ze ) d?ru"ir nriruffrJrufietn firFlrrunrru?lnnrarulroonsl

rnortosradtinlt4rind'e t nn.6u kiunnoir.:rTu nreflnsrsa{ Power untailt too tdnu.jr n{r.r

{:Jeedntorunrn{urouqufinrni?Tnna1il1manfl1mnlnnrsdfl hiuErnsirsriu don.tdonn.rfintn

unnshrfiufiuorhrdoqrqrn g:Junrm.:nr#rny'rdsitrTu tns n'lrfitwrsorr Griffhh uny power

rhyriiuqrna.r.#{rloudrtnumnriunrr:rqutfifirludro,ra.drirntfrnu"r(t d:lonrfunv + drlntf

nrrudrd'u t drrfluffaqnflnliumr{:hulu:rru#ud{'rJreamt6firdruuvrirunvfinrer:Jdeuurln.:

nqfinmruntfi-r:Jrcruarura qrnarnnredntr-r1ue,F.rdafirlne1fi.i'l nT tir.rrlevnruorrr#fiaan

mrnnqrnnirtrXfirlft.ncuoonttnnluflndlc;{rr(hyperoxaturia)ri{rflfitonrarfinrru6nfic1fi6{u tord

:layno:.rsosfiodtnt,u.nnt4ndo unnrdsilaan$1rnn )

nrufiSru

flnnr.rvs{ruuu

ntfu:lrvyn1uo1u1?unn duu qo rde{rio nrrrfl ubndm:;uuntrfiu

nrefillrsilruorurtunnrdsil nr{r.rf,nu,ruavnduncuqu fi.nl*rn'ruorureunnrdErutntl

r#s:lrvsJ'lru ztoz run/rdou uni te2s un/6au ntrd'rd'u arnnrrQmernffihu:lndec nu.jr nra

fidrrvrrua.r.t*uduu hifinmudr.rr{ufriunrerflulrnfim:;uuvrluhuflnc{rqvc{ruuu tnrunrir.r

flnrglfillrvvnluolultrnardfluTnetdflqsn'lrnr!rurrruqu uoilrifiriudrdrgvrr{dfiA ( p= 0.46 )

t r.tr.d 6 ) unvqtnrunnrfinar#Inrst{ Muhipte Logistic Hegresstion fir'ru.jr nrrfi.nlrwrru

r.ma*nrdflu 'trJ-iinerJd'l.rr{ufflunrnflulandeeyuuyrxrfiuflnnr.rss{euru rdurfie.rfiu (p>0.0b)

( r.r.od g t drhinesrYunurfigru urinaorndorfiunredntnmr criffith un;nily r za t dflu,ir

n{r.r{rJrufiatn rl':l?urruntzu?Innatalrunnn'EtrJlnersdenJu.d'"r t nn/{u lriunnsir.:rTu n1?

fln:grssr power unvnms( b0 tdnu.ir nrir.rftJrufirtnrun;nrlunrcu4ru firl?r.ncunrru3lnno1u1r

unnrdeutne#a biunnoi'xfiu nrefinutro{ Trinchieri uaynily f se ) nredn:flro.: lguchi nor

rrruy ( gz ) n'ndntn:n{ Fellstrom unynily ( ot tdvru,jr nrlr.rff:Jredetnrunvnr!runru4ru finrafi.r

ilaanruarratunrardsu hiuqrnoi'xriu uns tsuchi ( 3z ) rftnu'ir rfunr${rl"refia1qunsnr!runcuqru

r.r'nrni?lnnorureunnrfiflerdrn.irrnruvirurnrgrudneetfifr.rlu t {u odr.rlrfior, rn.afinurnF.rdCopyright by Mahidol University

70.

unneil{slnnlrAnmm{ Marangetta unynily (60 ) rfluntdnulr?vrnnor dltu'jr tutruvfi.r

:lrynruarurnlnfi n{ru{rhudrunardsildhifl:'lua1rl,rE finrrf,uunardfluoonnrrrlnnmvqs

n,jrn{unouqr.r otirdriudrA'rgnr.refifi o^roi"rr.^tfrunrntdeulusurnilnfiunvdrn'ir:lnfi

ron r;lun{ru ffJrnir nu.ir n4udtfifr un n n'fl u dr fi nr rcYu unn rfi fl Hiltfl c{(t m v oirn'lr n{udtfi

fuunrnrdeu:Jnfi odr.:firifldr6'rgvnrnfifi nrrfrnrnflol curhan unvnilt t s2 ) rflu Proopective

,tuoy drnru'jr nriru{rhedcbrfinrni?lnnarureunnldeil fioen.irnr!runruqru aeiT .rfirifldrd'rgvn.r

afifi (nn=0.b6, 95 7o cr = 0.43-0.73 , p=0.001 ) slnoJnnlrfln:grtunisdrftkis{rutnaGuT stdid'n

rqufi.rnT #hinrlnmrudurft.rfsarnrefirrJ*rl.u.rr.#fiunnrder.rq.runvtanfievrr.rrfiuflanT .rvs{eu

'- A c' 6ilu n{r.lilunnrflsr.rilua{drlrynarroofi.dnuu.nd4ttit ,rEou#ou..rd.ou...n rlrnltuc{eu

traedroltnnffiff$onr*Nnnisfimnr3lnuulr.#fionrnrdulr drn.j'rrfiuu'lrtg''n dti.rauoroqj

udr uaviiunralnT rflnundnu,ir:lrgtfiulutuuvrd"rulrar$:rournnyfuoonrderruflofi*6'u

unnrdsiltuflnnmvqrlnuhinmunrturl (ldiopathic hypercalciuria )d.:nrcvd'.rnrirJarqfin{urduou.

qrnnrrrfiuorrlts{1rJ1?nqofiruunnrdflillfirJrnfinrJnfiqrnnretfifrrinruûfis1nud{tunnil1n(deu

lra4jrir.rT urnnunnnatu{r) unsnrerlunnrdsilluflnarevqsrirtrh.r'tanmrfinrufinf,atfiqs u

n:.rfigru nrrfidr:mrufrcnafisrrflurla;{r ude$iantdulrndrr;uunrrufiu

rJanmvdruuu

nmfinjffinrufrrcnafise nriruflntnuavn{runeuqrur{.lulur$filJrunrufficrufiflrrflu !

:lav,ir fiorrflu$asns 9b.7 uns m.g nTildrdu nnnrfimrmcfd'euilrdse nu.ir ntfi.nlff;r4ruffrn

ruf,ecrflu:jevdr hifin'rT ilft{r{ufrTunrarflulrnfieesruuvrrsr6uflanr.l;druuu toran{udnurfir

rlasrnufrrenaiiectflu:lav,ir urnn.hnrlsrnelrqil wikifirftrdT fi'rgvrr.refifi ( p= 0.2g t t r.r,od o )

unsslnt{nnrfirnr, nfTna}fl tvtuttipte Logistic Regresstion firnru.jr ntfi.nlffinruffrqrufiaedu

rlrv,{'r teifinmr.rd'ur{ufrYunrerflutanriie*ruuyrrrrduflnareydouuu rdurda.rfiu (p>0.0b) tr.t-r.dg tdshine.:riunrulfigru uris{annfio.:riunrednmsor s{rJflsf ,rduuuouuqn (62 )dnu'lr n{ru

ff:Jeaflclnunvnriruneuqru u'nrnillnnffr'Jrufls.J lriunnrir.:fiu uoiodrlafrnrru nmdnun.Fod

unnoirrqrnnmflnvrml ilenttf rofinnnrQn unynruy (18 ) dfinmlunrlrl{:JrelrnfierNfiu

rlc{arJ#.:urun un;nu'jr {dfilJe;nT ufir.rrufler rflwJw,ir rde{ gianrrrfl ulenfiea:ruunrr duflnnrlrqrn'irffi:urJmnrunr'rr{1rflu:lr;,{r dmrqrflunnm'-rs.jr nredn*uFod tdfrnmronrrfr

:lrelenf,rftu:Jvnq6uflanrJ;s{ru:ru tr.r1ffintnrirutrl6$irtuneynrr:flrqnmvdne 6mrqrirtri

runnrtfinsrunnrir.rrTu dnrlevnrmd.:60 nrednm'lu^Fodilrro.nrtududflnundculraqjfu

:lrn4uff1r nafi se rfl wlrv4T o qi u6.rdso rqrirtll*inu ne t r drur{uf 6.: ri.rbio T q a qrJtff'j,r n,rri:r

ilrnnT uffrr nafl fl r fi urlav{tdfl t ria nmrfl ulrnfi e afl unrr fiuflaarrcdruuuufu -ur*Copyright by Mahidol University

71.

d | oa 6 n v o Jy r 4nrr:li:lr;{6r6u'Llee d.le1tnfi fro{uouuru'l n{ufi nur untndil nr:r qil fi fi :lr;{6nrr

r6u:lcefieslrndfioruauurul Fnufluintlav 1.9 uav 0.b n1ild1du Hanltqmfl:rffturJerdfle

yru'jr nmr{u:.hflfireTrndfrauauurul 1*ir.r'nerufirur{uf,riunrerflulrnrfimaruvrl.r6ufldnmv

d.ruuu lnren{rufl.nmfirl*dfir{urlesfiaelrndffa{uouu1u"l q'rn,itn{unreuqr urilrifiriadrdrg

nrufiSru nrrfirJru,i6r{urJcerl.Jcrtradfra.:uauuru'l rds.reionttflulrnfilr:;uuvrrr

rduflna, acrt''ruuu

flrl6fi4 F=o.37lt^.r.od G ) un;qtnrunnrrirnmvritprflt{ tuultipte Logistic Regresstion vtu'jr nm

firJs{fir{urlofldcelendfra{uoui.r1u"l hifin'lrilfrrlrfufriuntrflulrniharuuvrrr6uflctd'lryc{eu

uu rdudflerTu td>o.ost rr.tlfi'g t d{hinr.rriurtuufigruua;1*icoornfiaqTunrafirmno{ Hwang

rnynily tog t dilu'hnlflrouuurdu.:uru1 rirXrifi nrrd'uunardax r,londofn oantlmn oonilTr

flanmr6.r{u odNfirifldrd'rgvrr.:nfifi drrfluntrduncrurde{'lunrrriad'nsar catciurncontaining

renat srone douo.u*nvirqffum.rrunnmflnsrar.rdoor,...n grJuuumrnrefrn:rrdunnoirrriu

uny,irurunriud'aotirdtd"lunmfintnsir.rflu dn:l*n, rud.rda nradnsrlunF.rdlrilffinsrtu

neiudr{urhedeebndfrauauurullnnrar{'rv 6.rrfthinruT ennpJlfi'jr nrer6udeflfraflIrndffar

uauurulfl ufl q{fl d ttlro.: nrr rfl ulrnfirruunr.: 6ufl nare rs{ouuuiiohi

nufigru nrrfirlrui6r{urhsd'relroi.iomr-.{rduilndr.r;'luuqirgrfi1nffi a dsrr a o al a q- - t '

rianmrilulenfrn ranmtr rfi uflnctmcd'ruuu

nT rfi:lrs':Ar{ild'lerfieelrnfinrflillarsr6uflnnrcsluuqiqnfi hffAn nrir.rfl nmua;, Ja, 4

nrirunruqu fiil':Jr;6finmr6urJreff.lErtrnrfi.r*ruuyrrsrhrnJs{er.lvtuu{rgrfitnffior 6nrflufnflay

47.0 uay 1s.2 nrudr6'u ruanrfimn:nf6'eu:Jrrde.rnu.ir nm6u:leflficelanf,ea:rJuyrrrfiu

flnc{mv'luuqirgrfilnffin finerufii.rfiuf,riunrarflulr^fiot".,un.rmuflnnrevdruuu aeir.rfirie

dr6'rgvn.:nfifi(p.o.oootXr.t.ode)tors{drgrfilnfiQnru'rlrv{fir6u:hflfiafllenfimyuuyn.:fiu

flaar.rdlonrnrdflsdus.r wirrar{drgrfilnffinlri&r'rlaci6r6u:hElfiaelrnfieayuuilr.rGuflc{s{.r'Jv

unuq'lnr.rnnT rimmnilqflt{ t{uttipte Logistic Regresstion rru,r'r uJdoncuqufln{udu1uffc merl

rJrr{fir{u:J,rflfiefltrnd'l nunrrGuflnnT ar'luraqirgT filnffiorfinerrud'r.n{uf,rYuntrflutenrfiQrynlr

il'rsuhuflsqnrevdquuu rdudsrfiu g<0.0001) rr.t od s r Inufrdrgrfitnffinfi:leyd6r6urleefire

lenrf,.J:vuuyrruhuflc{arev filonrc{dtNrflu +.s ryi'r m.rfidrgrfilnfiiinlrifirlrvdfir6u:hsfufllen

fiorr-,uraor6uflc{6{rqs drornrir.rnrrrufigru unvnonnfiorrYunrefinrnmr Borghi nouflruy ( s1 )

nrafln:*lza{ Junghall uasnils (ea I n1?dnulflo{ Churchill unsnils ( eS I nreflnEiso{Copyright by Mahidol University

72.

Robertson unynilg (66 ) n1?frnMno{ Trinchieri ungnils ( 67 ) n1?Anrn?a{ Thun ltovntuv (68 }

J , un o A r d | 6 e 4 v 'finu.ir {rleulenf,alor frrlav{Hnrer{udeedqetanfilevuunr.rrfiuflaarevtu Family History tJlnn"j'luAu ' ^ A s r de e e -aq C{filrirflufinln aeir.iiifedrd'rgvrr.rnfrfi BsoGuretfi'iT lrrrfimvuuvtl{Gufldd1evdeuuulill o1s

qyfinQrudsnfiuvrrc{uqn?fir uiog:J[uunrrirriiufiindnafiouueflrqflr rdil qrJiifiunrnrSlnn,

nlnlrynouorfi nrnrqf, rrrlnr'nmfl nn"rtoraa;!6entiotil

nTlrunnr$q-e

\

nrrdris, flq{flrdflwasnrerflutenfiersu:rvr''r{rrhufldara;s{.ruuutu{ru{atauuriu

rflunrrflrng"niau{atnrnaqmrtrn (Retrospective Case-control Stuoy) rfrrmureu{aqnnrnfr:Jrudn.r

vrvufiuurflu{:lesrff1funmfnrvr tulny{ErlulnfiurIflouuriu tudmrnrir.:rdaunrngrnru fir 6au

fi.nrnru T.fr.2igg unvnsiild'?adrrtuqrunudfirunnranreqvrrrirdiyrtll ( uttrasound ) m$nelnre

urieEJUltrasounorndoudrdafrurarun:;rirrirrlrnfutnluqiltulnsnrusrn{yrErfi1s{nf ilrllriflEndsmu

uriu fl zsea nrir.rflnvl( cases trfluff:ieelaerfirnerunrrfiuflnnTt;douuu d,fr.fr.,nrefntn tuta.:

nullllnsouuriuludtlrnrdrnsir.r t?o4rloumuun:nrr!.: ".q#o*i

zo fldutJ {ruau zto nnnelu

nrruqN ( controls t uflu{:Jrudtdtlttttrd.ra?atrnrdfl.rfiuralnrrqrhu:Jdc{re; dfioun.rro.n.l0

fidivrsrm{NilErlulnrouuriuunv{dhirflufinlurarrr6uflsqs{'l'Jyq''rnr{nnlrrr?,rn uttrasound luqru

{ura.lnilsufivrflnrnnf uuriilerdrlsauuriu {'ruru 210 fla t{uuufrrunrortdffin-nhrdu

unvairuntrne'rsdouc''rn{vrarqrujrfi rfiue'rumil{oqndeud'.r{frnuera.:r{rraro iunnnifrarynfiee

Chi-square test[ovMuttiple Logistic Regression ,au-"trduodQeOOOs Ratio (OR) uny 96 % Cl for

OR

aranlednundct Chi-square test ,Odds Ratio (oR) uot 95 o/o Cl for OR rnru.jr fls{edfi

nmrudufiuf,rfunrarflulrndm;uumrGufls{n'l"r;dauuu lfiuri nrni:JryiBnmr6u:l"rufireTen

deaaJunrlGurlnnmrXuraqirgrftnffinr ntfirilr:nruorurnfuiu6rn'jrrnruriradu nmfii

:legnruorur?aon{1mnq.rn'itnrudrode nrfllrnauoldilnntu{.rludornrn}au >3 dwffiJnnf

nmdrurl,fiofln'ir zooo ilndu tnEjfid'nflrdEj.tHirflu b.06 ,3.98 ,3.06 ,2.b6 uny 1.90 nrrudrd'u r{eu* y & rc v e ce 6 o i a ne t

ils{efrlrirunrrrufrur{ufriunrerflutenfitatnrunr6urJnnresdeuuu tfruri nntr rnn*gfu dr nm

fidr:mruarureunatdflil nrrfi.nlr;ryrru{rrruflerrflu:1ffi,{r rlrcdfintr6u:hafiifltrnddo.:uouJ

u1u'l (n1fl.wi 6,7 )

nnnraflntnfiiu Multlpte Logistic Regression nu'ir fls{Erdr'natrfrr.rr{uf,rTuntrflu

lenfi,lrsuuvrurfiuflnc{msd'tuuulfiuri nrefirjr6finmr6urhefi'rstenfia?aluvnrrhuflec{r,rc'lu

raqjrgrfitnfi"firr nrafi-r:Jeanruatarrn^drrqrn.jtnzurirqds nrfllrrnouordnnnr.:uftludarnrnCopyright by Mahidol University

73.

fnu tg {wd:Joti nr#rurlrfiafln.jr zooo iln/{u nmfi:rlrnaruolul?aanmmor6rn"j'rrnrud

rqdfl fidneTrd€r.rryi'lliu 4.4s,3.b3 ,2.38 ,2.z3unv 1.87 nrudrdu t ,Tmod e I s{.ruflq{ed1*iu'uo.ull

dufiudrYunrrrfluTrnfimv:.ruvrrsrfiuflnc{mvdauuu tfiuri anrnrnn*gfirdr nrefi.r:lrnnruo11,t1t

unardeu nrr5:.r:la:nru{Trruflfl.Jrflurlry,ir :lrv{6ntr6u:lmdrsbndfia.tt out rr.lrunntefr nnnlanrnm.:nratflutenrfimnruvrt r6uflnnrudluuunu.h nrnirlry{Fnm

r{urJrflfirEllanf,mvuuvn.rrduflnnmv'luraqirgrfilnfiEnrfie{flr{E dsrffu#flq{eo]un.rdfiTon.rn

rflutrnfleryuuyn.r6uflnnreydeuuulfi-rosny +t.og urnfiflq{en,l?ftJil?sn1ua1u1?

fr-eiu6n'jrrnrufrodudrudtfl qvil'lanT nrflulrnfi.rranuvrrr6uflnnreydcuuu nr'il{urflufaenyi

71.10 unvmnyiiilrJq{cnrnlrsnauardrrrnn,.:uftt#a1n16inu >s {wfflnri flq{entdilfirrloen'ir 2000 i ua.ft flq{anrrfirl?;ntua"rumaondrmn{Nn.irmnrsirqdfl rfitJi.rilfirsfi n;q e 6 ds -ol ' J g Jrlq{s fiqvil-lonrdtflutrnfiervuunrrr6uflnnm;s{ruuu rfrrutuuToalflufnsnu 9b.42 , 92.90 uny

go.og nrudldu

fia rnuo uuglunrsdr ann'lrA{fl tlt{

1 . tfl uuueymlun''rr'r'l{unucltdnmuri:Jr:nrru luntnqn'Jlu rdu.ouonrerflulrnfi'l

raruntGuflnnrwdruuu lnsn.renndiaradnrde.:fln{urirq dlfiqrnnrednryr rdu

fitrunn'xu{r1uda'rnrnhurrnn'jr g {wfiilnrf nrefidrrnruo'uTrfiriu6.: ntfi.r:Jr:nru

o1t l?aonfrlmngt nTad&rrlrfiaen'j1 2000 iln/{u rdaarnlunrnlalfiuunvnluqruTrrrficvrr

rfiutlnererdcuuu

z. tfluuucvrxlunT ttrft{T rlinuru6aur.rnir{rJautrniltnrrrhuflnnre;dauuudoqjnnr.jr.r

nrrfrr:r'rviiotfffirnrrinunuffordanorflrgrarnrrnfrurflu{r:rsshnfirnrruhuflngqre;druuu

g. tfluuuentlunronru4ruttnfirvrr.:rduflnc{re;dauuu losmruruutinraqunffdfinmer

rd u.: 6 rio n T erfl ulrnfi n raruyr rr rhufl n c{r c ydruJu d'.:d

3.1 {dfirlrvtfinm6u:lesdeslrnfirftiruvrNGufldnrartural,jrprfilnffin slrilonrarde.iDianrarflulenfi,!rvuumrrthuflnntrsdcuuu q.:n.lrnuilnfi 6.rncruuydrrflufirn,rctu

rdolnr:TJfrri6d'e tnfltft{dndesfln{trduldqvrcGrJlftJ'lon'rerflulrnficvn.rGuffns{revc{'ruuuldtrta

t?IrJ?.tuon

3.2 {dfiih{sduodt l rdu ritrunntuftt#o1n16huJ,rnn.jr g {wd:lnrtf ,

furlaanruatarefi'Jiu6r ,ir.rrJ*nnrualu'l?oonfl1rnn6 , da.rurfiosn'ir eooo iln7{u nrennrufu

udnrdeltlq{ed'.rndr"ru?nn.r#u*r'nruunvrriuiafioT ntfinrln#n{frfl.im,rqqyrfluflevrrufiu

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74.

flnnt; rdonrfifindudqnffarunslfifunrefmntuxwdfiohipue.r( ra'rnnu'jT rflulan I rflunr

nnflrgurnctrqrprduvrr.reNnrs Qnln unvrnn*gfiq rnr

fio rnuo ursluntfl ntn6{r, tiotl

t. dn:yrftq{sdru'arnoianrerflulandcaanrvrrqhuflnnrevr{cu.ru uuutrJf'xurir

( prospective study I rlr4oratlq{erds.tlfiadr.tnmunqil artrmnirantrjlffluntetuaru n1?ntl

nJiulrfirrunm.rpucodol plur-urnT rrirrfiudin nqfinmlnrnj3tan ussflq{emirl1 do..

nafiauu?as{rlffu du ritq{ufinrmnrgfiq ,nttfuilmmrt o.u't#fiunardur.r6r ,ntfirilagnruff'n

ruiis'JrflurJs,ft "rn"r dT ufuflq{snrerftdcedes1rndfio.luaunu"l n'rdnrrfl ntnlunriru{rhu

d fiu*or.u.u1ha ran r:uncarqttAf, nr ad ns"r uuutrJ{r.nnlr

g. ncef, nut1q{edu1fin?auuquEio{t r?.tlu{srk rd3il uncfls&ftr&r samrnfl ulandc

asuunrr 6uf lcdrosd.ruuu


ilr?ru1qn?:J

1. yri fl?rld. lenfi'rrnTsrduflc{nrlr. ms{t1un1:rJrvquduuurrisrJflri6n.t,t.

Irnfi"lvrxrfiuflndTJr , 2b28: 1G31.

2. vri f,?r.rd. Urinary stone disease oveMew ns{1unlalru1'l.ruuru1nl? I

inrrr rrnvfl o.rrYutanfirvrx rfiuflglarr v zu lNneru'rnq orrorfl , 2531 .

3. roiviti 16na . Imfir'lrm'urfinJnarry . finsc{radmar.r?nsrdfrnsunrryltiurur

tlfir . 2519;19,2: 4S54 .

4. Unakul S . Urinary stone in Thailand : A statistical survey. Siriraj hospital gaz -

1961; 13 :1*214.

E. m{nni qildra 'nr oqnm rasnilt. uurtrhraoq:iEnrmftaltenfirluntrfiu

rlnnrt;tude{ 3 vtfi'rtttt ru te{ltgrurordeltud . ms{1un13frttuut

ulhmfirdor d'flu flr.:6uflnd1e;unt RTA.2530 : 1318 .

6. vri Fl?cr rfunsn ruv.trafiwrr Gufl n dm slxrnr n n siuao n rder nn:s ta trltc ril nlil e.

fl u{1un1 fl Jrvq*r ri.nlfl rifi n r erdattrnfi rr, l rfi ufl c{ nr nv . 2528 : 7 7 85 .

7. 4n{nf trfiqnufuf, . Prevalence of urinary stones in Khon Kaen Province . t'lg

.:runrrdl.nturuligrfirin.: fi'l'lu flN6uflnnl'l;un; RTA .2530 : 912 .

g. arui6 il,rrrJE{finA . dnnntrfind'ltmarinT euftnreairfrnfietntultlrlrsrulaflau

uriu . rauuriut'r{d1t .2530 ; 17,2:1*19.

9. qrpc{ fi'aun.rinrf . fi.rflN6uflc{nrrr'lulxnflrurndrilN . drrlrrnnc{'lt . 2b31

;9,1:23$2.


tO. {sfir na.rrlarre?g . iicrTuflrgutml{lu{nqunntorfi : fln$uunvuuchb.rlu

oulnn . meNrunrn|rqrdururri.nJfrrifirnrrColhndcvtrltfiuflnctrs,

2528: €D .

I r . ft nnrd rlvrBn{nd . flrgrartrnd.rntfrnenrflrtulrwrEnuraniunh.rvrf . flE{tlu

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12. LwirarU, Choovichian P, Biiaphala S, Choovichian T.The mubidity of bilateral

i rsrar stone . tlct{nunlrdiluururClsrfi#o Aol**t at t:tra1?vunt RTA ,

2530 :27-36 .

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ntfnudunnur.iinrralftmumnsduoonrftNnnio, zssa .

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trnfinvrrq6uflnnr?c . 2528 : 42+r. .

18. fr?nd rorYnnnrQsr . flq{elds$arnrauflutenfitvrtr6uilnnrecuns{rJcu nain

KUB ufu wp rlnilutrsnsmnqifr{tf . n,lrf,irn ,25![ :n+779.

f9. oqr{ud dufic.rd. qXfinu, . firufnFsd 2 nfltnn 1,2525 .


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27 . ni m?{tr. lendrluln .lu: tentnndiin rs{u z .:hfivrf, r{nr;qn uns u?61

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69. ttiunfot rJqu'ruuri. sample size estimation. tofidlfl-l3snoun1?uffis1g,nilu61

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