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人类肾脏中的结石形成。

Stone formation in human kidney.

作者信息

Hering F, Briellmann T, Lüönd G, Guggenheim H, Seiler H, Rutishauser G

出版信息

Urol Res. 1987;15(2):67-73. doi: 10.1007/BF00260935.

DOI:10.1007/BF00260935
PMID:3590431
Abstract

Microscopic crystals were found by SEM analysis in kidneys of stone forming patients as well as in kidneys of non-stone formers. In most samples calcifications were intratubular in the collecting ducts near the papillary tip. 1-2 micron sized particles lay in a gelatinous substance on the epithelium. The only difference in crystal composition is the higher phosphate content in the kidneys of the non-stone forming group. A correlation between the element concentration of the tissue and the occurrence of microliths is given by the cadmium content of the kidney samples. Both groups showed higher cadmium values in the cortex or medulla when crystals were found in the corresponding papillary samples. Urine supersaturation with respect to calcium oxalate was higher in the stone forming group caused by a higher calcium and oxalate but a lower magnesium excretion.

摘要

通过扫描电子显微镜(SEM)分析发现,结石形成患者的肾脏以及非结石形成者的肾脏中均存在微观晶体。在大多数样本中,钙化位于乳头尖端附近集合管的肾小管内。1 - 2微米大小的颗粒位于上皮细胞上的凝胶状物质中。晶体成分的唯一差异在于非结石形成组的肾脏中磷酸盐含量较高。肾脏样本中的镉含量表明了组织元素浓度与微结石发生之间的相关性。当在相应的乳头样本中发现晶体时,两组在皮质或髓质中的镉值均较高。由于结石形成组钙和草酸盐排泄较高但镁排泄较低,其草酸钙的尿液过饱和度更高。

相似文献

1
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Urol Res. 1987;15(2):67-73. doi: 10.1007/BF00260935.
2
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Renal intratubular crystals and hyaluronan staining occur in stone formers with bypass surgery but not with idiopathic calcium oxalate stones.肾内肾小管晶体和透明质酸染色见于接受搭桥手术的结石患者,而不见于特发性草酸钙结石患者。
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Calcium phosphate supersaturation regulates stone formation in genetic hypercalciuric stone-forming rats.磷酸钙过饱和度调节遗传性高钙尿结石形成大鼠的结石形成。
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引用本文的文献

1
Urolithiasis--historical, comparative and pathophysiological aspects: a review.尿石症——历史、比较及病理生理学方面:综述
J R Soc Med. 1989 Nov;82(11):669-72. doi: 10.1177/014107688908201112.

本文引用的文献

1
Calcium and oxalate concentrations in human renal tissue: the key to the pathogenesis of stone formation?人体肾组织中钙和草酸盐的浓度:结石形成发病机制的关键?
J Urol. 1980 Mar;123(3):317-9. doi: 10.1016/s0022-5347(17)55914-5.
2
The importance of cadmium as a factor in calcified upper urinary tract stone disease--a prospective 7-year study.
Br J Urol. 1982 Dec;54(6):584-9. doi: 10.1111/j.1464-410x.1982.tb13601.x.
3
Oxalic acid, calcium, and phosphorus in the renal papilla of normal and stone forming rats.
Invest Urol. 1972 Mar;9(5):369-75.