Tan Hao-Tian, Yi Wen-Ting, Shi Lei, Wang Wen-Ting, Lin Chun-Hua
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.
J Int Med Res. 2021 Jan;49(1):300060520987937. doi: 10.1177/0300060520987937.
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.
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。