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一名61岁男性患有巨大前列腺结石合并鹿角形肾结石：一种罕见疾病的不寻常表现。

Large prostatic stones with staghorn renal calculus in a 61-year-old man: an unusual presentation of uncommon disease.

作者信息

Hajji Fouad, Lmezguidi Khalid, Janane Abdellatif, Ameur Ahmed

机构信息

Department of Urology, Mohammed V Military Hospital, Mohammed V University, Rabat, Morocco.

出版信息

BMJ Case Rep. 2017 Jun 29;2017:bcr-2017-219778. doi: 10.1136/bcr-2017-219778.

DOI:10.1136/bcr-2017-219778
PMID:28663245
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC5534654/
Abstract

Prostatic parenchymal calculi are common in ageing men who are evaluated for benign prostatic hyperplasia or prostate cancer. Giant prostatic calculi are very rare, usually associated with local predisposing factors for urinary stasis and infections, and traditionally managed by open surgery. We present the first case of its kind to be associated with a concurrent staghorn nephrolithiasis, and removed successfully by endoscopic approach using an access sheath through the urethra.

摘要

前列腺实质结石在接受良性前列腺增生或前列腺癌评估的老年男性中很常见。巨大前列腺结石非常罕见，通常与局部尿路淤积和感染的易感因素有关，传统上通过开放手术治疗。我们报告首例并发鹿角形肾结石的巨大前列腺结石病例，并通过经尿道使用接入鞘的内镜方法成功切除。

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本文引用的文献

1
Transurethral holmium-YAG laser lithotripsy for large symptomatic prostatic calculi: initial experience.经尿道钬激光碎石术治疗大体积有症状前列腺结石：初步经验。
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Unusual giant prostatic urethral calculus.罕见的巨大前列腺尿道结石。
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Multiple giant prostatic urethral stones with an ureteral stone in a young patient.
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The giant calculus within the prostatic urethra.前列腺尿道内的巨大结石。
Urol Res. 2011 Aug;39(4):319-21. doi: 10.1007/s00240-010-0350-x. Epub 2010 Dec 28.
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Transurethral lithotripsy with holmium-YAG laser of a large exogenous prostatic calculus.
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Idiopathic prostatic giant calculi in a young male patient.一名年轻男性患者的特发性前列腺巨大结石
Int Urol Nephrol. 2005;37(2):295-7. doi: 10.1007/s11255-004-7967-z.
8
Chapter 1: AUA guideline on management of staghorn calculi: diagnosis and treatment recommendations.第1章：美国泌尿外科学会鹿角形结石管理指南：诊断与治疗建议
J Urol. 2005 Jun;173(6):1991-2000. doi: 10.1097/01.ju.0000161171.67806.2a.
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Use of Amplatz sheath in male urethra during cystolitholapaxy of large bladder calculi.在大膀胱结石的膀胱结石碎石术中男性尿道使用安普瑞兹鞘。
Urology. 2004 Nov;64(5):1026-7. doi: 10.1016/j.urology.2004.07.022.
10
Percutaneous suprapubic urethrolitholapaxy of a large native prostatic urethral stone.经皮耻骨上前列腺尿道结石碎石术治疗巨大原发性前列腺尿道结石
BJU Int. 1999 Apr;83(6):724-5. doi: 10.1046/j.1464-410x.1999.00070.x.