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迷你经皮激光碎石术治疗肾移植患者肾结石:病例报告

Treatment of Kidney Stone in a Kidney-Transplanted Patient with Mini-Percutaneous Laser Lithotripsy: A Case Report.

作者信息

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

机构信息

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

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

出版信息

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

DOI:10.1159/000444251
PMID:27066492
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4821147/
Abstract

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.

摘要

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。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8df1/4821147/a0a1d840458d/cnd-0006-0026-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8df1/4821147/7c4dc694088d/cnd-0006-0026-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8df1/4821147/1bf16c46c10a/cnd-0006-0026-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8df1/4821147/a0a1d840458d/cnd-0006-0026-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8df1/4821147/7c4dc694088d/cnd-0006-0026-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8df1/4821147/1bf16c46c10a/cnd-0006-0026-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/8df1/4821147/a0a1d840458d/cnd-0006-0026-g03.jpg

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本文引用的文献

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Mini percutaneous nephrolithotomy in the treatment of renal and upper ureteral stones: Lessons learned from a review of the literature.微创经皮肾镜取石术治疗肾及输尿管上段结石:文献综述所得经验教训
Urol Ann. 2015 Apr-Jun;7(2):141-8. doi: 10.4103/0974-7796.152927.
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A retrospective study of minipercutaneous laser lithotripsy for treatment of allograft kidney lithiasis obstruction.
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Extracorporeal shockwave lithotripsy of ureteral stone in a patient with en bloc kidney transplantation: a case report.整块肾移植患者输尿管结石的体外冲击波碎石术:病例报告
Acta Clin Croat. 2023 Jul;62(Suppl2):132-137. doi: 10.20471/acc.2023.62.s2.19.
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FLEXIBLE URETERORENOSCOPY AND LASER LITHOTRIPSY IN A PATIENT WITH A STONE IN THE TRANSPLANTED KIDNEY: A CASE REPORT.经移植肾脏内结石患者的软性输尿管镜检查和激光碎石术:病例报告。
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Pan Afr Med J. 2022 Apr 26;41:333. doi: 10.11604/pamj.2022.41.333.33169. eCollection 2022.
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Minimal-invasive management of urological complications after kidney transplantation.肾移植术后泌尿系统并发症的微创处理。
Int Urol Nephrol. 2021 Jul;53(7):1267-1277. doi: 10.1007/s11255-021-02825-7. Epub 2021 Mar 2.
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Percutaneous management of stones in transplanted kidneys.移植肾结石的经皮治疗
Urology. 2008 Sep;72(3):508-12. doi: 10.1016/j.urology.2008.05.040. Epub 2008 Jul 23.
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Multimodal management of urolithiasis in renal transplantation.肾移植中尿石症的多模式管理
BJU Int. 2005 Aug;96(3):385-9. doi: 10.1111/j.1464-410X.2005.05636.x.
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Urolithiasis in allograft kidneys.移植肾中的尿石症
Urology. 2002 Mar;59(3):344-8. doi: 10.1016/s0090-4295(01)01575-8.
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Comparison of mortality in all patients on dialysis, patients on dialysis awaiting transplantation, and recipients of a first cadaveric transplant.透析患者、等待移植的透析患者以及首次尸体器官移植受者的死亡率比较。
N Engl J Med. 1999 Dec 2;341(23):1725-30. doi: 10.1056/NEJM199912023412303.
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