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过去文献已报道过肝豆状核变性伴有各种各样的肾脏损害,包括肾血流量和肾小球滤过率的减少以及肾小管的损害,但未曾报道过伴发结石。为了探讨这一问题,本文作者研究了54例肝豆状核变性病人,结果如下: 经过腹部平片和解脉肾盂造影检查的45例病人中7例(16%)有明确的肾结石的X线表现(另2例可疑),其中4例有症状,都有肾绞痛,1例有复发性肉眼血尿,l例有复发性尿沙。7例中3例曾行肾石切除术。3例自行排出结石(包括上述的尿沙1例)。在肝豆状核变性确诊时,伴发肾结石者都有神经系统受累,7例中6例有骨质损害的X线表现以及明显的
In the past, it has been reported in the literature that Wilson’s disease is associated with a variety of renal impairments, including reduced renal blood flow and glomerular filtration rate, and tubular damage, but no associated calculi have been reported. To address this issue, the authors studied 54 patients with hepatolenticular degeneration, the results of which are as follows: 7 (16%) of 45 patients who underwent abdominal plain film and pelvic pyelography had definite renal calculi Performance (the other two cases were suspicious), of which 4 patients had symptoms of renal colic, 1 case of recurrent gross hematuria, l cases of recurrent urine. Three of the seven cases had a nephrolithotomy. 3 cases of self-discharge of stones (including the above 1 cases of urine). In the diagnosis of Wilson’s disease, there are nervous system involvement in those with kidney stones. X-ray findings of 6 cases with bone lesions and obvious