输尿管镜辅助逆行肾造瘘术治疗巨大梗阻性肾盂结石：一例报告
Ureteroscopy-assisted retrograde nephrostomy for a large and obstructive renal pelvic stone: a case report.
作者信息
Kawahara Takashi, Ito Hiroki, Terao Hideyuki, Uemura Hiroji, Kubota Yoshinobu, Matsuzaki Junichi
机构信息
Department of Urology, Ohguchi Higashi General Hospital, 2-19-1, Irie, Kanagawa-ku, Yokohama City, Kanagawa, Japan.
Department of Urology, Yokohama City University Graduate School of Medicine, 3-9, Fukuura, Kanazawa-ku, Yokohama City, Japan.
出版信息
J Med Case Rep. 2015 Feb 27;9:44. doi: 10.1186/s13256-015-0529-4.
INTRODUCTION
We have previously described the use of ureteroscopy-assisted retrograde nephrostomy. However, reaching the target calyx with the ureteroscope is difficult in patients with obstructive renal pelvic stones.
CASE PRESENTATION
A 53-year-old Japanese woman was referred to our department for the treatment of a right renal stone. She was admitted to our department for percutaneous nephrolithotomy of a right renal stone located at her ureteropelvic junction. A Lawson retrograde nephrostomy puncture wire was subsequently inserted into the flexible ureteroscope, and we successfully punctured the calyx from the target spot to the skin. The nephrostomy was dilated, and the stone fragments were obtained and removed.
CONCLUSIONS
We here report the case of a large and obstructive renal stone successfully treated with percutaneous nephrolithotomy using the ureteroscopy-assisted retrograde nephrostomy technique.
引言
我们之前曾描述过输尿管镜辅助逆行肾造瘘术的应用。然而，对于患有梗阻性肾盂结石的患者，用输尿管镜到达目标肾盏很困难。
病例介绍
一名53岁的日本女性因右侧肾结石被转诊至我科。她因位于输尿管肾盂交界处的右侧肾结石入住我科接受经皮肾镜取石术。随后将劳森逆行肾造瘘穿刺导丝插入软性输尿管镜，我们成功地从目标部位穿刺至皮肤进入肾盏。扩张肾造瘘口，获取并取出结石碎片。
结论
我们在此报告一例使用输尿管镜辅助逆行肾造瘘技术经皮肾镜取石术成功治疗巨大梗阻性肾结石的病例。
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