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经皮肾造瘘术治疗输尿管结石患者发生的罕见并发症:两例报告

[Percutaneous nephrostomy for unusual complications occurring in patients with ureteral stones: a report of two cases].

作者信息

Nishino A, Kawaguchi K

出版信息

Hinyokika Kiyo. 1986 Jan;32(1):85-9.

PMID:3962812
Abstract

The first case is a 59-year-old man who had left flank pain and nausea. KUB, excretory urograms and CT scan showed a left ureteral stone at the ureterovesical junction associated with spontaneous rupture of the left renal pelvis. Percutaneous nephrostomy was performed. The ureteral stone was spontaneously discharged on the 4th postoperative day and extravasation of contrast medium from the left renal pelvis disappeared. The second case is a 42-year-old man who was admitted with bilateral flank pain, nausea and vomiting. KUB and excretory urograms showed bilateral hydronephrosis due to small bilateral ureteral stones. Serum BUN and creatinine had risen to 41 and 5.1 mg/dl, respectively, on the day after admission. Percutaneous nephrostomy to the left kidney was performed. BUN and creatinine were normalized immediately and the bilateral ureteral stones were spontaneously discharged by the 9th postoperative day. After the nephrostomy catheters were removed, no complications occurred in either case and KUB and excretory urograms showed normal findings.

摘要

第一例患者为一名59岁男性,有左侧胁腹疼痛和恶心症状。腹部平片(KUB)、排泄性尿路造影和CT扫描显示,左侧输尿管膀胱连接处有结石,伴有左肾盂自发性破裂。实施了经皮肾造瘘术。术后第4天输尿管结石自行排出,左肾盂造影剂外渗消失。第二例患者为一名42岁男性,因双侧胁腹疼痛、恶心和呕吐入院。KUB和排泄性尿路造影显示,双侧小输尿管结石导致双侧肾积水。入院次日,血清尿素氮(BUN)和肌酐分别升至41mg/dl和5.1mg/dl。对左肾实施了经皮肾造瘘术。BUN和肌酐立即恢复正常,术后第9天双侧输尿管结石自行排出。拔除肾造瘘导管后,两例患者均未出现并发症,KUB和排泄性尿路造影显示结果正常。

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