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钙性肾结石患者的骨矿物质含量

Bone mineral content in calcium renal stone formers.

作者信息

Trinchieri A

机构信息

Urology Unit, Ospedale A. Manzoni, Via dell'Eremo 9/11, 23800 Lecco, Italy.

出版信息

Urol Res. 2005 Aug;33(4):247-53. doi: 10.1007/s00240-005-0498-y. Epub 2005 Aug 3.

DOI:10.1007/s00240-005-0498-y
PMID:16078084
Abstract

Idiopathic renal calcium stone disease often presents with reduced bone mineral content. Investigations using non-invasive methods for the measurement of bone mineral content (single and dual-photon absorptiometry, dual-energy x-ray absorptiometry, quantitative computed tomodensitometry) show a slight decrease in skeletal mineral content of idiopathic renal stone formers (RSFs). The alterations in bone mineral content in RSFs have different explanations: prostaglandin-mediated bone resorption, subtle metabolic acidosis and 1-25 vitamin D disorders. Bone mineral content is worsened by insufficient dietary calcium leading to a negative calcium balance.

摘要

特发性肾钙结石病常伴有骨矿物质含量降低。使用非侵入性方法测量骨矿物质含量(单光子和双光子吸收测定法、双能X线吸收测定法、定量计算机断层密度测定法)的研究表明,特发性肾结石患者(RSF)的骨骼矿物质含量略有下降。RSF患者骨矿物质含量的改变有不同的解释:前列腺素介导的骨吸收、轻微代谢性酸中毒和1,25-维生素D紊乱。饮食中钙摄入不足导致负钙平衡,会使骨矿物质含量恶化。

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