中华医学杂志（英文版）Issue(9)：1431-1434,4.DOI:10.3760/cma.j.issn.0366-6999.2011.09.027
Treatment of urinary lithiasis following kidney transplantation with extracorporeal shock-wave lithotripsy
Treatment of urinary lithiasis following kidney transplantation with extracorporeal shock-wave lithotripsy
LI Sha-dan 1WANG Qing-tang 1CHEN Wei-guo1
作者信息
摘要
Abstract
Background The incidence of urinary lithiasis following kidney transplantation is very low, and decision-supporting data are not available. The aim of this study was to review the diagnosis and treatment of urinary lithiasis following kidney transplantation, which is of realistic significance to reduce urinary lithiasis following kidney transplantation, prolong the survival of renal allografts.Methods The incidence, diagnosis and treatment of urinary lithiasis in ten patients following kidney transplantation were analyzed retrospectively. Seven out of these patients had stones sized approximately 0.4-1.1 cm, and they were treated with low-voltage, low-frequency extracorporeal shock-wave lithotripsy (ESWL). Two patients had stones sized ＜0.3 cm and they underwent cystoscopy and ureteroscopy. The ureteral catheter endoscopes were inserted in a retrograde manner to mobilize stones repeatedly. After elimination of obstruction, a ureteral double J stent was indwelt.One patient had a pelvic stone (1.2 cm), which was removed surgically.Results The major clinical manifestations were hematuria, oliguria or anuria. Some patients were asymptomatic and they were diagnosed through laboratory tests and imaging examinations, e.g., ultrasonography. After elimination of obstruction, subjective symptoms disappeared in all patients, and the function of renal allografts recovered. A six-month follow-up indicated no remnant stones or lithiasis relapse.Conclusions The diagnosis and treatment of renal allograft lithiasis are challenging. After prompt and appropriate treatment, the prognosis was satisfactory, and permanent renal functional impairment did not occur in most patients.关键词
kidney transplantation/lithiasis/extracorporeal shock-wave lithotripsyKey words
kidney transplantation/lithiasis/extracorporeal shock-wave lithotripsy引用本文复制引用
LI Sha-dan,WANG Qing-tang,CHEN Wei-guo..Treatment of urinary lithiasis following kidney transplantation with extracorporeal shock-wave lithotripsy[J].中华医学杂志（英文版）,2011,(9):1431-1434,4.
