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目的 探讨肾移植术后尿路结石的诊断与治疗。 方法 对 5例肾移植并发泌尿系结石病人进行诊治。其中供肾内残留结石 1例 ,膀胱输尿管吻合口处狭窄并发结石 3例 ,肾移植后内置支架管形成结石 1例。予以观察排石治疗 2例 ,输尿管取石、输尿管膀胱再吻合术 3例次 ,ESWL 1例次。 结果 5例病人均人肾存活 ,随访 1～ 13年。 1例未行手术处理者已存活 13年。 结论 肾移植术后尿路结石的治疗与常人相同 ,但应注意尿酸盐结石的成因治疗
Objective To investigate the diagnosis and treatment of urinary tract stones after renal transplantation. Methods Five cases of renal transplant patients with urolithiasis were diagnosed and treated. One case of residual stones for the kidney, ureteral anastomotic stricture in 3 cases of stones, stent graft tube formed after kidney transplantation in 1 case. To observe the row of stone treatment in 2 cases, ureteral stone, ureter and bladder re-anastomosis in 3 cases, ESWL times in 1 case. Results All of the 5 patients survived for one to 13 years. One patient who had not undergone surgical treatment had survived for 13 years. Conclusion The treatment of urinary tract stones after kidney transplantation is the same as that of ordinary people, but the causes of urate stones should be noticed