迷你经皮激光碎石术治疗肾移植患者肾结石：病例报告

Markić Dean, Krpina Kristian, Ahel Juraj, Gršković Antun, Španjol Josip, Rubinić Nino, Materljan Mauro, Mikolašević Ivana, Orlić Lidija, Rački Sanjin

Departments of Urology, University Hospital Rijeka, Rijeka, Croatia.

Nephrology and Dialysis, University Hospital Rijeka, Rijeka, Croatia.

Case Rep Nephrol Dial. 2016 Mar 2;6(1):26-31. doi: 10.1159/000444251. eCollection 2016 Jan-Apr.

We report a case of a kidney-transplanted patient with urolithiasis treated with mini-percutaneous laser lithotripsy. The patient presented with renal dysfunction and graft hydronephrosis. Diagnostic procedures revealed ureterolithiasis as a cause of obstruction, and percutaneous nephrostomy was inserted as a temporary solution. Before surgery, the stone migrated to the renal pelvis. Mini-percutaneous laser lithotripsy was successfully performed, and during surgery, all stone fragments were removed. Six months after successful treatment, the patient has good functioning and stone-free graft.

我们报告一例接受肾脏移植的患者，其患有尿路结石，采用了微创经皮激光碎石术进行治疗。该患者出现肾功能不全和移植肾积水。诊断程序显示输尿管结石是梗阻的原因，并插入了经皮肾造瘘术作为临时解决方案。手术前，结石迁移至肾盂。成功实施了微创经皮激光碎石术，术中所有结石碎片均被清除。成功治疗六个月后，患者移植肾功能良好且无结石。