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孤立肾射频消融术后输尿管热损伤的会师技术

Rendezvous technique following thermal ureteric injury after radiofrequency ablation in a solitary kidney.

作者信息

Doody Orla, Given Mark F, Harper Matthew, Kavnoudias Helen, Thomson Kenneth R, Lyon Stuart M

机构信息

Department of Radiology, the Department of Medicine, Monash University, The Alfred Hospital, Commercial Road, Melbourne, Australia 3004.

出版信息

J Vasc Interv Radiol. 2008 Jul;19(7):1112-4. doi: 10.1016/j.jvir.2008.04.009. Epub 2008 Jun 2.

Abstract

Percutaneous radiofrequency (RF) ablation is a promising treatment for solid renal tumors in selected patients. Nontarget thermal damage is a known risk of the procedure. The authors describe a case of a patient who underwent RF ablation of a lower pole renal lesion and subsequently developed a ureteric stricture secondary to thermal injury. Successful management of the ureteric stricture required a rendezvous procedure. This report illustrates the potential complication of ureteric stricture formation after a RF ablation procedure and the management challenges posed by such thermal injuries.

摘要

经皮射频消融术对部分选定患者的实性肾肿瘤是一种很有前景的治疗方法。非靶热损伤是该手术已知的风险。作者描述了一例患者,该患者接受了下极肾病变的射频消融术,随后因热损伤继发输尿管狭窄。输尿管狭窄的成功处理需要会师手术。本报告阐述了射频消融术后输尿管狭窄形成的潜在并发症以及此类热损伤带来的处理挑战。

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