Shimamura T, Strauss G
Department of Pathology, University of Medicine and Dentistry of New Jersey, Robert Wood Johnson Medical School, Piscataway 08854.
Jpn J Exp Med. 1988 Feb;58(1):9-13.
Foreign bodies in the urinary tract induce uroliths. This study examined reactions to vesical foreign bodies in Brattleboro rats manifesting diabetes insipidus and Sprague-Dawley rats. A silk suture was placed in the bladder of these rats and the occurrence of vesical uroliths, stone composition, and mucosal morphology were examined. Sprague-Dawley rats readily formed bladder stones in addition to a urolith formed over the suture, but there was little evidence that Brattleboro rats developed similar stones. Stone composition was primarily ammonium magnesium phosphate. The mucosal reactive hyperplasia was pronounced in the Sprague-Dawley, but was negligible in the Brattleboro rats. In conclusion, vesical foreign bodies readily induced uroliths in Sprague-Dawley rats, but there was no similar evidence in Brattleboro rats. It is suggested that the excessive diuresis of the latter may play a major role for this resistance to form stones, but the precise mechanisms of it are complex and remain to be explored.
尿路中的异物会诱发尿路结石。本研究检查了表现为尿崩症的布拉德福德大鼠和斯普拉格-道利大鼠对膀胱异物的反应。将丝线缝合线置于这些大鼠的膀胱中,并检查膀胱结石的发生情况、结石成分和黏膜形态。除了在缝合线上形成的尿路结石外,斯普拉格-道利大鼠很容易形成膀胱结石,但几乎没有证据表明布拉德福德大鼠会形成类似的结石。结石成分主要是磷酸镁铵。黏膜反应性增生在斯普拉格-道利大鼠中很明显,但在布拉德福德大鼠中可以忽略不计。总之,膀胱异物很容易在斯普拉格-道利大鼠中诱发尿路结石,但在布拉德福德大鼠中没有类似的证据。提示后者的过度利尿可能在这种抗结石形成中起主要作用,但其确切机制复杂,仍有待探索。