Calmus Y, Gendre J P, Mignon F
Presse Med. 1983 Nov 19;12(42):2685-8.
Urinary stones are much more common in subjects with intestinal diseases than in the general population. The chemical composition of the stones depends on the type of intestinal disease. In diarrhoeas with loss of water and electrolytes (inflammatory colitis and, chiefly, ileostomy), the urine is acid and concentrated and the stones are composed of uric acid. Extensive lesions of the ileum or wide resections of the small bowel increase the intestinal absorption of oxalates and expose the patients to oxalate stones. Treatment, which must be preventive, is based upon a knowledge of the pathophysiology of urolithiasis.
与普通人群相比,泌尿系统结石在患有肠道疾病的患者中更为常见。结石的化学成分取决于肠道疾病的类型。在伴有水和电解质丢失的腹泻(炎症性结肠炎,主要是回肠造口术)中,尿液呈酸性且浓缩,结石由尿酸组成。回肠的广泛病变或小肠的广泛切除会增加肠道对草酸盐的吸收,使患者易患草酸盐结石。治疗必须是预防性的,其依据是对尿路结石病理生理学的了解。