回肠膀胱患者容易发生肾结石。其原因是回肠切除伴发的草酸代谢异常、尿路感染、高氯性酸血症引起的高尿钙症等。因而,这类患者的肾结石,外科治疗受限,要求选择非手术疗法。作者最近报道1例这种肾结石,经肾造瘘持续注入依地酸(EDTA)溶液,获得完全溶解。患者,女,22岁。1974年9月因硬脊膜膨出行回肠膀胱术。1979年3月发现右肾结石,其后迅速增大成鹿角状结石。既往有尿路感染史。检查:全身情况良好,胸部理学检查无异常,肝、脾及两肾未触及。尿常规:pH8.0,蛋白+,有多数红、白细胞和磷酸镁铵结晶。中段尿细菌培养,细菌数在每ml10万以 Urinary bladder stones prone to kidney stones. The reason is ileal resection associated with oxalic acid metabolism, urinary tract infection, hypercalciuria caused by hypercalciuria and so on. Thus, such patients with kidney stones, surgical treatment is limited, requiring the choice of non-surgical treatment. The authors recently reported a case of this kidney stones, continuous infusion of edetate (EDTA) solution by the renal fistula, to obtain complete dissolution. Patient, female, 22 years old. September 1974 because of dura mater ileal bladder surgery. In 1979 March found the right kidney stones, then rapidly increased into antlers horn stone. Past history of urinary tract infection. Check: The general condition is good, no abnormal breast examination, liver, spleen and kidney were not touched. Urine routine: pH8.0, protein +, most red, white blood cells and ammonium magnesium phosphate crystallization. Urinary bacterial culture in the middle, the number of bacteria in each ml 100000