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经皮肾镜联合输尿管镜成功取出巨大输尿管结石:1例报告

A giant ureteric calculus successfully removed by mini-endoscopic combined intrarenal surgery: A case report.

作者信息

Limudomporn Pasin, Phengsalae Yada, Ketsuwan Chinnakhet

机构信息

Division of Urology, Department of Surgery, Faculty of Medicine Ramathibodi Hospital, Mahidol University, Bangkok, Thailand.

出版信息

Urol Case Rep. 2022 Oct 26;45:102270. doi: 10.1016/j.eucr.2022.102270. eCollection 2022 Nov.

DOI:10.1016/j.eucr.2022.102270
PMID:36337173
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC9630614/
Abstract

Giant ureteric calculi are extreme rare and associated with a subsequent decline in the function of the affected kidney. We report the case of a 58-year-old male with a huge opaque ureteral calculus found during a routine medical check-up. Computed tomography revealed an 11 × 12 × 67 mm ureteral stone at the right proximal ureter with mild hydronephrosis. The patient was treated successfully by mini-endoscopic combined intrarenal surgery, and the entire stone was retrieved. The patient recovered fully without additional complications.

摘要

巨大输尿管结石极为罕见,并会导致患侧肾功能随后下降。我们报告一例58岁男性病例,其在常规体检中发现有巨大不透光输尿管结石。计算机断层扫描显示右侧输尿管近端有一枚11×12×67毫米的输尿管结石,伴有轻度肾积水。该患者通过迷你内镜联合肾内手术成功治疗,结石被完整取出。患者完全康复,无其他并发症。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1180/9630614/eca27b4db8eb/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1180/9630614/9bd1844d8763/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1180/9630614/b2671f1f694a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1180/9630614/eca27b4db8eb/gr3.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1180/9630614/9bd1844d8763/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1180/9630614/b2671f1f694a/gr2.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/1180/9630614/eca27b4db8eb/gr3.jpg

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Endoscopic combined intrarenal surgery in Galdakao-modified supine Valdivia position: a new standard for percutaneous nephrolithotomy?加尔达考改良仰卧瓦尔迪维亚体位下的内镜联合肾内手术:经皮肾镜取石术的新标准?
Eur Urol. 2008 Dec;54(6):1393-403. doi: 10.1016/j.eururo.2008.07.073. Epub 2008 Aug 8.
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Relationship of spontaneous passage of ureteral calculi to stone size and location as revealed by unenhanced helical CT.
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