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交叉异位融合肾患者输尿管结石的处理

Management of Ureterolithiasis in a Patient with Crossed Unfused Renal Ectopia.

作者信息

Kodama Koichi, Takase Yasukazu, Tatsu Hiroki

机构信息

Department of Urology, Toyama City Hospital, Toyama 939-8511, Japan.

Department of Radiology, Toyama City Hospital, Toyama 939-8511, Japan.

出版信息

Case Rep Urol. 2016;2016:1847213. doi: 10.1155/2016/1847213. Epub 2016 Jun 14.

DOI:10.1155/2016/1847213
PMID:27403369
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4923525/
Abstract

Crossed renal ectopia is a rare congenital anomaly in which both kidneys are situated on one side and fused together in 85%-90% of cases. The management of urinary calculi in patients with crossed renal ectopia continues to pose challenges to urologists because the aberrant anatomy may make access and clearance of the calculi more difficult to accomplish. Here, we report a case of inferior crossed renal ectopia, without fusion, and a ureteral stone in which the patient was treated successfully by extracorporeal shock wave lithotripsy.

摘要

交叉异位肾是一种罕见的先天性异常，其中双肾位于一侧，在85%-90%的病例中融合在一起。交叉异位肾患者的尿路结石治疗仍然给泌尿外科医生带来挑战，因为异常的解剖结构可能使结石的取出和清除更加困难。在此，我们报告一例低位交叉异位肾（无融合）合并输尿管结石的病例，该患者通过体外冲击波碎石术成功治愈。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb9a/4923525/b6d45bc4b77a/CRIU2016-1847213.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb9a/4923525/2037333638cf/CRIU2016-1847213.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb9a/4923525/b6d45bc4b77a/CRIU2016-1847213.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb9a/4923525/2037333638cf/CRIU2016-1847213.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/cb9a/4923525/b6d45bc4b77a/CRIU2016-1847213.002.jpg

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引用本文的文献

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Crossed unfused renal ectopia with pelviureteric junction obstruction associated with nephrolithiasis: a rare troublesome triad managed by robotic surgery.交叉融合不良性肾异位合并肾盂输尿管连接部梗阻并肾结石：一种罕见且棘手的三联症，采用机器人手术治疗。
BMJ Case Rep. 2021 Apr 8;14(4):e237794. doi: 10.1136/bcr-2020-237794.
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Against the Odds: Management of Ureteral Calculus in Patient With Crossed Fused Renal Ectopia.战胜困难：交叉融合肾异位患者输尿管结石的管理
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Crossed-fused renal ectopia with renal calculi: Two case reports and a review of the literature.

本文引用的文献

1
Retrograde intrarenal surgery in cross-fused ectopic kidney.交叉融合异位肾逆行肾内手术。
Urology. 2015 Feb;85(2):e5-6. doi: 10.1016/j.urology.2014.10.013. Epub 2014 Dec 4.
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Crossed fused renal ectopia: Challenges in diagnosis and management.交叉融合肾异位：诊断与管理中的挑战
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Laparoscopic nephrolithotomy in a patient with crossed fused renal ectopia.交叉融合肾异位患者的腹腔镜肾切开取石术。
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Pediatr Nephrol. 2001 Mar;16(3):269-70. doi: 10.1007/s004670000540.
9
Crossed renal ectopia without fusion associated with hydronephrosis in an infant.一名婴儿出现交叉异位肾且无融合并伴有肾盂积水。
Urology. 1991 Nov;38(5):450-2. doi: 10.1016/0090-4295(91)80236-z.
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Clin Radiol. 1977 May;28(3):339-44. doi: 10.1016/s0009-9260(77)80194-3.