异物导致的输尿管梗阻和肾积水：一例病例报告及文献综述
Ureteral obstruction and hydronephrosis caused by foreign body: A case report and literature review.
作者信息
Zhao Zhe-Wei, Wu Xing-Cheng, Deng Jian-Hua, Lian Peng-Hu, Zhang Xue-Bin
机构信息
Department of Urology, Peking Union Medical College Hospital, Chinese Academy of Medical Science and Peking Union Medical College, Beijing, China.
出版信息
Medicine (Baltimore). 2019 Nov;98(44):e17780. doi: 10.1097/MD.0000000000017780.
RATIONALE
Foreign bodies related ureteral obstruction and hydronephrosis is rare and usually cause numerous problems for clinical physicians.
PATIENT CONCERNS
We report a 36-year-old female who was referred to our hospital due to a 4-year history of dull pain on the left back.
DIAGNOSIS
X-ray and abdominal CT revealed a foreign body around the upper part of the left ureter with ureteral obstruction and hydronephrosis.
INTERVENTIONS
Laparoscopy was performed and a 3-cm sewing needle was removed successfully.
OUTCOMES
After 6 months' follow-up, the patient's ureteral obstruction and hydronephrosis were significantly reduced, and the double-J ureteral stent was removed.
LESSONS
This case indicated that ureteral obstruction and hydronephrosis caused by foreign bodies needed to be early diagnosed and located. Invasive therapies rather than conservative treatments are preferred to remove the FBs and relieve obstruction.
原理
异物相关的输尿管梗阻和肾积水较为罕见，通常给临床医生带来诸多问题。
患者情况
我们报告一名36岁女性，因左侧背部钝痛4年病史转诊至我院。
诊断
X线和腹部CT显示左输尿管上段周围有异物，伴有输尿管梗阻和肾积水。
干预措施
进行了腹腔镜检查，成功取出一枚3厘米长的缝纫针。
结果
经过6个月的随访，患者的输尿管梗阻和肾积水明显减轻，双J输尿管支架被取出。
经验教训
该病例表明，异物引起的输尿管梗阻和肾积水需要早期诊断和定位。去除异物并缓解梗阻首选侵入性治疗而非保守治疗。
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