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[移植肾肾上盏结石的经皮肾镜取石术]

[Percutaneous nephrolithotomy of an upper pole calix stone in a transplanted kidney].

作者信息

Munk A-K, Seif C, Renders L, Jünemann K P, Braun P M

机构信息

Klinik für Urologie und Kinderurologie, Universitätsklinikum Schleswig-Holstein, Campus Kiel.

出版信息

Aktuelle Urol. 2007 Nov;38(6):479-82. doi: 10.1055/s-2006-944307.

Abstract

INTRODUCTION

Nephrolithiasis in a transplanted kidney is an uncommon complication and may lead to an acute deterioration in renal function. Different techniques for stone treatment are known. In this case, we were successful by using percutaneous nephrolithotomy for the removal of the stone.

CASE REPORT

A 65-year-old male patient was found with urinary retention II degrees two months after renal transplantation. A stone in the upper pole calix was found as the probable cause. Percutaneous nephrolithotomy with a 15-Charr Storz mininephroscope was used successfully to disintegrate and remove the stone.

CONCLUSION

In comparison to other techniques for the removal of stones, percutaneous nephrolithotomy is a secure method in the treatment of nephrolithiasis in a transplanted kidney. This technique treats the renal stone in one session. We used a 15-Charr Storz mininephroscope which is less invasive than the usually used nephroscopes with a bigger lumen.

摘要

引言

移植肾肾结石是一种罕见的并发症,可能导致肾功能急性恶化。已知有不同的结石治疗技术。在本病例中,我们通过经皮肾镜取石术成功取出结石。

病例报告

一名65岁男性患者在肾移植术后两个月出现二度尿潴留。发现上极肾盏结石可能是病因。使用15号Charr Storz微型肾镜经皮肾镜取石术成功地粉碎并取出了结石。

结论

与其他结石去除技术相比,经皮肾镜取石术是治疗移植肾肾结石的一种安全方法。该技术可一次性治疗肾结石。我们使用的15号Charr Storz微型肾镜比通常使用的管腔更大的肾镜侵入性更小。

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