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经皮肾镜取石术在一名脊柱侧弯患者中的临床应用。

Clinical application of percutaneous nephrolithotomy in a patient with kyphoscoliosis.

作者信息

Tan Hao-Tian, Yi Wen-Ting, Shi Lei, Wang Wen-Ting, Lin Chun-Hua

机构信息

Department of Urology, The Affiliated Yantai Yuhuangding Hospital of Qingdao University, Yantai, Shandong, China.

Department of Medical Laboratory, Yantai Affiliated Hospital of Binzhou Medical University, Yantai, Shandong, China.

出版信息

J Int Med Res. 2021 Jan;49(1):300060520987937. doi: 10.1177/0300060520987937.

DOI:10.1177/0300060520987937
PMID:33499720
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7844462/
Abstract

This case report describes the performance of ultrasound-guided percutaneous nephrolithotomy in a 50-year-old woman who had scoliosis with kyphosis and a history of tuberculosis of the lumbar spine. The operation was performed with the patient under general anesthesia and in the prone position. Residual stones were found in the right lower kidney calyx postoperatively, resulting in a second-phase surgery using the same approach 2 weeks later. All stones were successfully removed during the second surgery. No complications occurred in either operation, and the patient recovered well. This study suggests that ultrasound-guided percutaneous nephrolithotomy is a safe and effective approach in treating renal calculi in patients with scoliosis.

摘要

本病例报告描述了在一名患有脊柱侧凸伴后凸畸形且有腰椎结核病史的50岁女性患者中进行超声引导下经皮肾镜取石术的情况。手术在全身麻醉下让患者俯卧位进行。术后发现右肾下盏有残余结石,导致2周后采用相同方法进行二期手术。在二期手术中所有结石均被成功取出。两次手术均未发生并发症,患者恢复良好。本研究表明,超声引导下经皮肾镜取石术是治疗脊柱侧凸患者肾结石的一种安全有效的方法。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc10/7844462/449ee5998c4b/10.1177_0300060520987937-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc10/7844462/b80800ff5710/10.1177_0300060520987937-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc10/7844462/3f5fb6c8f861/10.1177_0300060520987937-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc10/7844462/449ee5998c4b/10.1177_0300060520987937-fig3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc10/7844462/b80800ff5710/10.1177_0300060520987937-fig1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc10/7844462/3f5fb6c8f861/10.1177_0300060520987937-fig2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/bc10/7844462/449ee5998c4b/10.1177_0300060520987937-fig3.jpg

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本文引用的文献

1
Effect of Irrigation Solution Temperature on Complication of Percutaneous Nephrolithotomy: A Randomized Clinical Trial.灌注液温度对经皮肾镜取石术并发症的影响:一项随机临床试验
Urol J. 2019 Dec 24;16(6):525-529. doi: 10.22037/uj.v0i0.4399.
2
Obstructive lung disease in children with idiopathic scoliosis.特发性脊柱侧凸患儿的阻塞性肺疾病。
J Pediatr. 2015 Apr;166(4):1018-21. doi: 10.1016/j.jpeds.2014.12.070. Epub 2015 Feb 12.
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Medical management of kidney stones: AUA guideline.肾结石的医学管理:AUA 指南。
J Urol. 2014 Aug;192(2):316-24. doi: 10.1016/j.juro.2014.05.006. Epub 2014 May 20.
4
Percutaneous nephrolithotomy guided solely by ultrasonography: a 5-year study of >700 cases.单纯超声引导经皮肾镜取石术:一项超过 700 例的 5 年研究。
BJU Int. 2013 Nov;112(7):965-71. doi: 10.1111/bju.12248. Epub 2013 Jul 26.
5
Is percutaneous nephrolithotomy suitable for patients with scoliosis: single-center experience.经皮肾镜碎石术是否适用于脊柱侧弯患者:单中心经验。
Urology. 2011 Jul;78(1):37-42. doi: 10.1016/j.urology.2010.11.004. Epub 2011 Jan 22.
6
Percutaneous nephrolithotomy in patients with spinal deformities.经皮肾镜碎石术治疗脊柱畸形患者。
J Endourol. 2010 Jul;24(7):1081-9. doi: 10.1089/end.2010.0095.
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Massive retroperitoneal haemorrhage after extracorporeal shock wave lithotripsy (ESWL).体外冲击波碎石术后巨大腹膜后出血。
Int J Legal Med. 2011 Jan;125(1):75-9. doi: 10.1007/s00414-010-0489-6. Epub 2010 Jul 11.
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Historical overview of spinal deformities in ancient Greece.古希腊脊柱畸形的历史概述。
Scoliosis. 2009 Feb 25;4:6. doi: 10.1186/1748-7161-4-6.
9
The presence of horseshoe kidney does not affect the outcome of percutaneous nephrolithotomy.马蹄肾的存在并不影响经皮肾镜取石术的结果。
J Endourol. 2008 Jun;22(6):1219-25. doi: 10.1089/end.2008.0051.
10
Surgical treatment of congenital scoliosis.先天性脊柱侧凸的外科治疗。
Orthop Clin North Am. 2007 Oct;38(4):497-509, vi. doi: 10.1016/j.ocl.2007.05.002.