Brien G, Scholz D, Oesterwitz H, Schubert G, Bick C
Urol Res. 1980;8(4):211-8. doi: 10.1007/BF00256996.
Urolithiasis is a rare complication following kidney transplantation. Experience with this complication in 6 of 426 transplantations performed from 1968 to 1979 is reviewed. The clinical symptoms are different from the disease in non-transplant patients. Three major predisposing causes for the development of calculi after kidney transplantation were found in our patients--urodynamic disorders following complications of the ureterovesical anastomosis, persistent bacteriuria and renal tubular acidosis and, less importantly, the presence of hypercalcemia and hypercalciuria as a result of secondary hyperparathyroidism. Crystal-optical and x-ray-diffraction studies contributed to the interpretation of the constituents and texture of the calculi and of the aetiological factors concerned.
尿路结石是肾移植术后一种罕见的并发症。本文回顾了1968年至1979年间426例肾移植手术中6例出现该并发症的情况。其临床症状与非移植患者的疾病不同。在我们的患者中发现了肾移植术后结石形成的三个主要诱发因素——输尿管膀胱吻合口并发症后的尿动力学紊乱、持续性菌尿和肾小管酸中毒，次要因素是继发甲状旁腺功能亢进导致的高钙血症和高钙尿症。晶体光学和X射线衍射研究有助于解释结石的成分、结构以及相关病因。
