Gordon R L, Verstandig A G, Shapiro A
Eur Urol. 1983;9(1):50-2. doi: 10.1159/000474043.
A 72-year-old woman with a single kidney and renal calculi was admitted as an emergency with sepsis and anuria. Renal drainage was established by percutaneous nephrostomy (PTN) as an emergency procedure. A nephrostogram showed multiple lucent stones and a single opaque calculus in the renal pelvis. The definitive treatment of the mixed calculi was carried out through the PTN. The lucent stones were dissolved by alkaline irrigation and the opaque stone removed by a biliary basket via the dilated tract. The safety and simplicity of PTN as an emergency procedure and its use for definitive treatment with the avoidance of surgery are stressed.
一名72岁单肾并患有肾结石的女性因败血症和无尿作为急诊入院。经皮肾造瘘术（PTN）作为急诊手术建立了肾引流。肾造影片显示肾盂内有多个透光结石和一个不透光结石。通过PTN对混合性结石进行了确定性治疗。透光结石通过碱性灌洗溶解，不透光结石通过胆道取石篮经扩张通道取出。强调了PTN作为急诊手术的安全性和简便性及其在避免手术的情况下用于确定性治疗的作用。
