Lim Seok Tae, Sohn Myung-Hee, Jeong Hwan-Jeong, Yim Chang-Yeol
Department of Nuclear Medicine, Chonbuk National University Medical School, Jeonju, Jeonbuk, Korea.
Clin Nucl Med. 2008 Jan;33(1):58-60. doi: 10.1097/RLU.0b013e31815c505f.
Major urologic surgery performed in the lithotomy position sometimes results in the serious complications of rhabdomyolysis and acute renal failure. A 54-year-old man with prostate cancer (weight, 84 kg; height, 171 cm; body mass index, 28.7) underwent radical perineal prostatectomy in the lithotomy position for 7 hours. On the first postoperative day, the patient complained of numbness and pain of both thighs with oliguria. Serum creatinine kinase and myoglobin levels were elevated. Bone scintigraphy on the second day, which was confirmed by MRI, showed extraosseous increased activity in gluteus maximus muscle regions compatible with rhabdomyolysis.
在截石位进行的大型泌尿外科手术有时会导致横纹肌溶解和急性肾衰竭等严重并发症。一名54岁的前列腺癌男性患者（体重84千克，身高171厘米，体重指数28.7）在截石位接受了7小时的根治性会阴前列腺切除术。术后第一天，患者抱怨双大腿麻木和疼痛，伴有少尿。血清肌酐激酶和肌红蛋白水平升高。第二天的骨闪烁扫描（经MRI证实）显示臀大肌区域有骨外活性增加，符合横纹肌溶解表现。
