巨大输尿管结石的腔内泌尿外科治疗：经肾镜和震波进行输尿管下段结石碎石术

Endourology treatment of giant ureteral stone: Distal ureteral stone lithotripsy with nephroscope and shockpulse.

作者信息

Ferry Kiagus, Ferdian Vicky

机构信息

Urology Department, Hasan Sadikin Academic Medical Center, Faculty of Medicine Universitas Padjadjaran, Bandung, Indonesia.

Departement of Urology, Gunung Djati Hospital, Cirebon, West Java, Indonesia.

出版信息

Urol Case Rep. 2022 Oct 19;45:102265. doi: 10.1016/j.eucr.2022.102265. eCollection 2022 Nov.

DOI:10.1016/j.eucr.2022.102265

PMID:36324317

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9619188/

Abstract

There has been no article that publish the utilization of nephroscope to lithotripsy in removing giant distal ureteral stone. Here we reported a case of large multiple distal ureteral stones treated using nephroscope and litotripsy with shockpulse in a 53-year-old woman. The biggest stone measuring 40 × 35 mm and 5 × 5 mm for the smallest one. After initial cystoscopy and ureteric dilatation, nephroscope 24fr was inserted into the distal ureter. DJ stent was applied. No residual stone and complication were found. After four weeks the stent was removed and the ureteral lumen was normal in size.

摘要

目前尚无关于使用肾镜进行碎石术治疗巨大远端输尿管结石的文章发表。在此，我们报告了一例53岁女性使用肾镜和冲击波碎石术治疗多发性远端输尿管大结石的病例。最大的结石尺寸为40×35毫米，最小的为5×5毫米。在初始膀胱镜检查和输尿管扩张后，将24F肾镜插入远端输尿管。放置了DJ支架。未发现残余结石和并发症。四周后取出支架，输尿管腔大小正常。