Takahashi T, Terachi T, Sohma T, Terai A, Takeuchi H, Yoshida O
Department of Urology, Faculty of Medicine, Kyoto University.
Hinyokika Kiyo. 1995 Feb;41(2):127-31.
We report 4 cases of urinary lithiasis associated with chronic inflammatory bowel disease. All cases were surgically treated and the mode of operation was total colectomy in two cases, ileal resection (1 m) in 1 case and total colectomy and ileal resection (1 m) in 1 case. The composition of the stone was uric acid in 2 cases treated with total colectomy and calcium oxalate in the other 2 cases treated with ileal resection. Low urine volume was observed in 3 cases and acid urine in all cases. Hypocitruria was observed in 3 cases. Two cases with ileal resection showed enteric hyperoxaruia and increased urinary excretion of oxalate was observed on the oxalate loading test.
我们报告4例与慢性炎症性肠病相关的尿石症。所有病例均接受手术治疗，手术方式为2例行全结肠切除术，1例行回肠切除术（1米），1例行全结肠切除术加回肠切除术（1米）。全结肠切除术治疗的2例结石成分是尿酸，回肠切除术治疗的另外2例结石成分是草酸钙。3例尿量少，所有病例均为酸性尿。3例出现低枸橼酸尿。2例行回肠切除术的病例出现肠源性高草酸尿症，在草酸盐负荷试验中观察到草酸盐尿排泄增加。
