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尿道串珠样改变:输尿管支架结壳激光碎石术后一种独特的影像学表现。

Urethral beading: A unique radiographic finding following laser lithotripsy for ureteric stent encrustation.

作者信息

Matkowski Amber Fern Irene

机构信息

Department of General Surgery, Hereford County Hospital, Stonebow Road, Herefordshire, HR1 2BN, Wye Valley NHS Trust, UK.

出版信息

Radiol Case Rep. 2021 Dec 28;17(3):763-766. doi: 10.1016/j.radcr.2021.12.025. eCollection 2022 Mar.

DOI:10.1016/j.radcr.2021.12.025
PMID:35003477
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC8717437/
Abstract

We present an interesting case of ureteric stent encrustation in a 35-year-old male who was lost to follow up for 8 months during the Covid-19 pandemic. After clearing severe stent encrustation with ureteroscopy and laser lithotripsy, the patient presented with urinary retention and multiple failed catheterizations. They were found to have numerous calcified urethral fragments secondary to stent encrustation, with a unique radiographic appearance of a string of beads overlying the pubic symphysis. A new stent was inserted and the patient was lost to follow up for a further 4 months, during which time pronounced encrustation formed again.

摘要

我们报告了一例有趣的输尿管支架结壳病例,患者为一名35岁男性,在新冠疫情期间失访8个月。在通过输尿管镜检查和激光碎石术清除严重的支架结壳后,患者出现尿潴留且多次导尿失败。发现他们因支架结壳继发有大量钙化的尿道碎片,在耻骨联合上方呈现出一串珠子的独特影像学表现。插入了一个新的支架,患者又失访了4个月,在此期间再次形成了明显的结壳。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba28/8717437/77762464e027/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba28/8717437/f2802841cbe5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba28/8717437/95fe15f195d3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba28/8717437/77762464e027/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba28/8717437/f2802841cbe5/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba28/8717437/95fe15f195d3/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/ba28/8717437/77762464e027/gr3.jpg

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本文引用的文献

1
Impact of Retained Ureteral Stents on Long-Term Renal Function.留置输尿管支架对长期肾功能的影响。
Urol Pract. 2019 Mar;6(2):107-111. doi: 10.1016/j.urpr.2018.05.006. Epub 2019 Feb 22.
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Ureteral stents in urolithiasis.尿路结石中的输尿管支架
Asian J Urol. 2018 Oct;5(4):274-286. doi: 10.1016/j.ajur.2018.07.002. Epub 2018 Jul 25.
3
Engineering solutions to ureteral stents: material, coating and design.输尿管支架的工程解决方案:材料、涂层与设计。
Cent European J Urol. 2017;70(3):270-274. doi: 10.5173/ceju.2017.1520. Epub 2017 Aug 28.
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A novel ureteral stent material with antibacterial and reducing encrustation properties.一种具有抗菌和减少结石形成特性的新型输尿管支架材料。
Mater Sci Eng C Mater Biol Appl. 2016 Nov 1;68:221-228. doi: 10.1016/j.msec.2016.04.103. Epub 2016 May 21.
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Ureteral stent encrustation, incrustation, and coloring: morbidity related to indwelling times.输尿管支架管钙化、结石形成和变色:与留置时间相关的发病率。
J Endourol. 2012 Feb;26(2):178-82. doi: 10.1089/end.2011.0385. Epub 2011 Oct 18.
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Treatment of forgotten ureteral stents: how much does it really cost? A cost-effectiveness study in 27 patients.遗忘输尿管支架的治疗:实际花费多少?一项针对27例患者的成本效益研究。
Urol Res. 2012 Aug;40(4):317-25. doi: 10.1007/s00240-011-0409-3. Epub 2011 Aug 11.
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Rev Urol. 2010 Spring;12(2-3):e147-51.
8
Presence of five conditioning film proteins are highly associated with early stent encrustation.五种调节性薄膜蛋白的存在与早期支架结壳高度相关。
J Endourol. 2009 Sep;23(9):1437-42. doi: 10.1089/end.2009.0389.
9
Encrusted urinary stents: evaluation and endourologic management.结痂性输尿管支架:评估与腔内泌尿外科处理
J Endourol. 2008 May;22(5):905-12. doi: 10.1089/end.2006.0382.
10
Ureteric stents, far from ideal.输尿管支架,远非理想。
Lancet. 2000 Sep 9;356(9233):872-3. doi: 10.1016/S0140-6736(00)02674-X.