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无逆行输尿管插管的无管经皮肾镜取石术治疗小儿上段输尿管结石：1例报告

Tubeless percutaneous nephrolithotomy without retrograde ureteral catheterization for the treatment of pediatric upper ureteral stones: One case report.

作者信息

Yuxuan You, Wei Zhang, Wen Hu, Mingyong Li

机构信息

Urology Department, The First Affiliated Hospital, Hengyang Medical School, University of South China, China.

Urology Department, The First Affiliated Hospital, Hengyang Medical School, University of South China, China.

出版信息

Int J Surg Case Rep. 2025 Jan;126:110667. doi: 10.1016/j.ijscr.2024.110667. Epub 2024 Nov 28.

DOI:10.1016/j.ijscr.2024.110667
PMID:39612902
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11636330/
Abstract

INTRODUCTION

Traditional Percutaneous Nephrolithotomy (PCNL) typically involves the retrograde placement of a ureteral catheter. However, this procedure can present additional risks in pediatric patients.

CASE PRESENTATION

We report a case of a 10-year-old boy, weighing 33 kg, diagnosed with a right upper ureteral stone complicated by hydronephrosis and urosepsis.

CLINICAL DISCUSSION

Tubeless PCNL without retrograde indwelling ureteral catheter was performed on the second day of hospitalization.

CONCLUSION

This case applied tubeless PCNL without retrograde ureteral catheterization in a single prone position. The procedure was successful and safe.

摘要

引言

传统经皮肾镜取石术（PCNL）通常需要逆行放置输尿管导管。然而，该手术在儿科患者中可能会带来额外风险。

病例介绍

我们报告一例10岁男孩，体重33千克，诊断为右输尿管上段结石并伴有肾积水和尿脓毒症。

临床讨论

在住院第二天进行了无逆行留置输尿管导管的无管PCNL。

结论

本病例在单一俯卧位应用了无逆行输尿管插管的无管PCNL。手术成功且安全。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90db/11636330/368ec1f07737/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90db/11636330/368ec1f07737/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/90db/11636330/368ec1f07737/gr1.jpg

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Our Experience with Totally Ultrasonography-Guided Percutaneous Nephrolithotomy in Children.我们在儿童完全超声引导经皮肾镜取石术中的经验。
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