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患者男,47岁,反复两侧腰酸、隐痛5～8年,现加重,无尿频尿痛史。外院照片及B超:(1)两肾多发结石,(2)肾结核等排。94.4.15到我院就诊。体查:血压正常,两肾区叩击痛(+)。实验室:血钠、钾略偏低,尿旦白(±)、红细胞(+++)、白细胞(+++)。B超:两肾多个分散团,提示为多发结石(主要在肾质内)。X线检查:平片:两肾多发、细小、部分重叠的密集钙质石影,呈丛集扇形分布。肾影大小及轮廓正常。静脉肾盂造影:两肾显影稍迟、略谈,锥体部显影,兄扩张的收集小管囊柱状扩张,结石影重于其中,锥体有增大(附图)。X线诊断:两侧海绵肾(累及多个锥体)并多发结石,肾功能有减
Male patient, 47 years old, repeatedly on both sides of backache, pain 5 to 8 years, are aggravating, no history of dysuria and dysuria. Outside the hospital photos and B-ultrasound: (1) multiple kidney stones, (2) renal tuberculosis and other rows. 94.4.15 to our hospital. Physical examination: normal blood pressure, two kidney area percussion pain (+). Laboratory: sodium, potassium slightly lower, urinary white (±), red blood cells (+++), white blood cells (+++). B-super: multiple kidneys scattered two groups, suggesting multiple stones (mainly in the kidney). X-ray examination: plain film: multiple multiple, small, partially overlapping dense calcareous stone shadow, was clustered fan-shaped distribution. Kidney shadow size and profile normal. Intravenous pyelography: the development of the two kidneys later, a little talk about the development of the cone, expansion of the expansion of brother tubular columnar dilatation, which affected the stone, the cone has increased (with photos). X-ray diagnosis: sponge kidney on both sides (involving multiple cones) and multiple stones, reduced renal function