Carl P, Stark L
Department of Urology, Hauptkrankenhaus Deggendrof, Academic Hospital, Technical University of Munich, Federal Republic of Germany.
J Urol. 1994 May;151(5):1345-7. doi: 10.1016/s0022-5347(17)35248-5.
We report a case of active tuberculosis associated with a right nonfunctioning kidney and nearly total loss of bladder capacity. Percutaneous nephrostomy and right nephroureterectomy were performed while the patient was undergoing triple drug therapy. Definitive surgical treatment consisted of ileal bladder augmentation and ileal ureter replacement. Normal urodynamics of the upper urinary tract and normal voiding with complete return of bladder capacity were achieved. Metabolic acidosis was treated successfully by sodium hydrogen carbonate.
我们报告一例活动性肺结核合并右肾无功能及膀胱容量几乎完全丧失的病例。患者在接受三联药物治疗期间行肾造瘘术及右肾输尿管切除术。确定性手术治疗包括回肠膀胱扩大术及回肠代输尿管术。术后上尿路尿动力学恢复正常，膀胱容量完全恢复且排尿正常。代谢性酸中毒通过碳酸氢钠治疗成功。
