Limb J, Bellman G C
Department of Urology, Kaiser Permanente Medical Center, Los Angeles, California, USA.
Urology. 2000 Dec 20;56(6):1056. doi: 10.1016/s0090-4295(00)00818-9.
We report a case of a patient with sacral agenesis and nephrolithiasis in whom percutaneous nephrostolithotomy was used to treat the stone disease. Sacral agenesis is an uncommon congenital anomaly involving the lower vertebral bodies and is associated with urinary tract dysfunction. Nephrolithiasis in a patient with sacral agenesis poses a problem in access for percutaneous nephrostolithotomy because of the associated presence of renal ectopia. We describe our technique and the special considerations necessary for successful access.
我们报告了一例患有骶骨发育不全和肾结石的患者,该患者采用经皮肾镜取石术治疗结石病。骶骨发育不全是一种涉及下椎体的罕见先天性异常,与泌尿道功能障碍有关。由于存在肾异位,骶骨发育不全患者的肾结石给经皮肾镜取石术的入路带来了问题。我们描述了我们的技术以及成功建立入路所需的特殊注意事项。