Lewis Spencer, Srinivasa Rajiv N, Chick Jeffrey Forris Beecham, Kraft Kate H, Dauw Casey A, Srinivasa Ravi N
Department of Radiology, Division of Vascular and Interventional Radiology, University of Michigan Health System, 1500 East Medical Center Drive, Ann Arbor, MI 48109.
Department of Urology, Division of Endourology, University of Michigan Health System, Ann Arbor, MI.
Radiol Case Rep. 2017 Dec 29;13(2):510-512. doi: 10.1016/j.radcr.2017.12.003. eCollection 2018 Apr.
Recurrent urolithiasis is a common and potentially morbid complication of spina bifida. Although the size, the location, and the composition of these stones often necessitates percutaneous intervention, access is often complicated by body habitus and spinal deformity. There is little consensus regarding the approach to percutaneous lithotripsy when a clear path to the collecting system is unavailable, particularly in the setting of surgically augmented urological anatomy. Here we present the first known case in which a pediatric patient with spina bifida underwent percutaneous lithotripsy of bladder stones via a transpsoas approach.
复发性尿路结石是脊柱裂常见且可能导致病态的并发症。尽管这些结石的大小、位置和成分常常需要进行经皮干预，但因身体体型和脊柱畸形，穿刺入路往往很复杂。当无法明确通往集合系统的路径时，尤其是在手术增加了泌尿系统解剖复杂性的情况下，对于经皮碎石术的方法几乎没有共识。在此，我们报告首例已知的通过经腰大肌入路对患有脊柱裂的儿科患者进行膀胱结石经皮碎石术的病例。
