Ziglioli F, Ferretti S, Salsi P, Dinale F, Ciuffreda M, Campobasso D, Frattini A
Unità Operativa di Urologia, Dipartimento Chirurgico, Azienda Ospedaliero-Universitaria di Parma, Parma - Italy.
Urologia. 2010 Apr-May;77(2):150-3.
The horseshoe kidney is the most frequent renal anomaly, with a prevalence of 0.25% and a male to female ratio of 3:1. Although the pathogenesis remains controversial, the consequences of the impaired urinary drainage are well known: up to two third of patients present with urinary stasis, infection and urolithiasis. Percutaneous nephrolithotomy (PCNL) is a successful procedure for urolithiasis in horseshoe kidneys.
A 9-year-old patient with a 4-cm stone associated with horseshoe kidney underwent Percutaneous nephrolithotomy (PCNL). During the procedure, a flexible uretheroscopy was performed in order to obtain a complete vision and an optimal management of the procedure.
At the end of the procedure, the patient was stone-free. We reported no hemorrhagic complications, no pain and no infection. The patient was discharged after 48 hours.
The procedure is safe and effective, as long as the surgeon pays attention to the recommendations below.
马蹄肾是最常见的肾脏异常，患病率为0.25%，男女比例为3:1。尽管其发病机制仍存在争议，但尿流引流受损的后果是众所周知的：多达三分之二的患者出现尿潴留、感染和尿路结石。经皮肾镜取石术（PCNL）是治疗马蹄肾尿路结石的一种成功方法。
一名9岁患有与马蹄肾相关的4厘米结石的患者接受了经皮肾镜取石术（PCNL）。在手术过程中，进行了软性输尿管镜检查，以便获得完整视野并对手术进行最佳管理。
手术结束时，患者结石清除。我们未报告出血并发症、疼痛和感染情况。患者在48小时后出院。
只要外科医生注意以下建议，该手术就是安全有效的。
