Thomas R, Lee S, Salvatore F, Blank B, Harmon E
Department of Urology, Tulane University School of Medicine, New Orleans, Louisiana.
J Urol. 1993 Oct;150(4):1235-7. doi: 10.1016/s0022-5347(17)35740-3.
Continent urinary reservoirs are an accepted mode of urinary diversion in appropriate patients. Such procedures are associated with long-term complications. A patient who underwent a continent urinary diversion (modified Indiana pouch) 4 years ago for a neurogenic bladder presented with a large irregular calculus in the pouch. Endoscopic attempts to remove the calculus through the stoma were unsuccessful and extracorporeal shock wave lithotripsy failed to fragment the pouch calculus. Finally, an endoscopic approach through a direct percutaneous pouch cystostomy, and use of ultrasonic and electrohydraulic probes resulted in successful fragmentation and removal of the calculus.
可控性尿流改道术是适合患者的一种公认的尿液转流方式。此类手术会伴有长期并发症。一名4年前因神经源性膀胱接受可控性尿流改道术（改良印第安纳袋术）的患者，其尿袋内出现了一枚大的不规则结石。通过造口进行内镜下取石未成功，体外冲击波碎石术也未能击碎尿袋内的结石。最后，通过直接经皮尿袋膀胱造瘘的内镜方法，并使用超声和液电探头，成功地将结石击碎并取出。
