体外冲击波碎石术后肾脏床旁超声的临床应用
Clinical use of renal point-of-care ultrasound after extracorporeal shock wave lithotripsy.
作者信息
Magalhães Luís, Nogué Ramon
机构信息
Hospital da Luz - Arrábida, Praceta de Henrique Moreira 150, 4400-346, Vila Nova de Gaia, Portugal.
Universitat de Lleida, Plaça de Víctor Siurana, 1, 25003, Lleida, Spain.
出版信息
Ultrasound J. 2019 Sep 30;11(1):25. doi: 10.1186/s13089-019-0141-8.
BACKGROUND
Extracorporeal shock wave lithotripsy is widely used to treat symptomatic nephrolithiasis. Complications of this procedure can occur and point-of-care ultrasound can help to diagnose and manage some of these cases.
CASE PRESENTATION
A 61-year-old man was admitted to the hospital with intense right lumbar pain 24 h after being submitted to a extracorporeal shock wave lithotripsy. Bedside ultrasound showed a hyperechoic subcapsular lesion along the right kidney. This finding, along with the clinical examination, suggested the diagnosis of subcapsular renal hematoma. The patient was managed conservatively with clinical and ultrasound reassessments.
CONCLUSIONS
This case shows the use of bedside ultrasound to diagnose a subcapsular renal hematoma as a complication of extracorporeal shock wave lithotripsy. However, the sensitivity is low and other image methods can be necessary to make the diagnosis.
背景
体外冲击波碎石术广泛用于治疗有症状的肾结石。该手术可能会出现并发症，而床旁超声有助于诊断和处理其中一些病例。
病例介绍
一名61岁男性在接受体外冲击波碎石术后24小时因剧烈的右腰部疼痛入院。床旁超声显示右肾沿肾包膜下有一高回声病变。这一发现结合临床检查提示诊断为肾包膜下血肿。患者通过临床及超声复查进行保守治疗。
结论
本病例显示了床旁超声在诊断体外冲击波碎石术并发症肾包膜下血肿中的应用。然而，其敏感性较低，可能需要其他影像学方法来进行诊断。
Zotero 插件