输尿管软镜治疗异位肾合并肾结石一例并文献复习  

One case report of flexible ureterorenoscopy in management of renal calculi in anomalous kidney and literature review

作　　者：刘宁[1] 许斌[1] 陈恕求[1] 陈明[1] 

机构地区：[1]东南大学附属中大医院泌尿外科,江苏南京210029

出　　处：《国际泌尿系统杂志》2014年第6期841-843,共3页International Journal of Urology and Nephrology

摘　　要：目的 探讨输尿管软镜治疗异位肾合并肾结石的可行性.方法 应用STOZE输尿管软镜治疗左侧异位肾（左肾位于右盆腔）合并肾结石患者一例.患者,男,40岁,因“右下腹部反复疼痛5d”入院,入院后行腹盆腔CT二维重建示：左侧异位肾及左肾结石,结石直径约1cm,留置F6输尿管支架管3周后,行输尿管软镜钬激光碎石术,手术顺利.结果 患者腹痛明显缓解,无血尿、腰痛等并发症,术后3d复查KUB,并拔除导尿管,5d后出院,3周拔除支架管,并复查腹部CT示结石排净,积水消失.术后随访12个月,患者无不适,未见结石复发.结论 输尿管软镜治疗直径＜ 2cm的异位肾合并肾结石疗效确切,并发症少,可行性高,值得推广.Objectives To evaluate the feasibility of flexible ureterorenoscopy in management of renal calculi in anomalous kidney.Methods One case of renal calculi in left anomalous kidney was treated with STOZE flexible ureteroscope.Male patient,40 years,was hospitalized because of ＂ repeatedly pain of right lower abdomen for five days＂.The two-dimensional reconstruction CT of abdomen and pelvic showed：one renal stone in left anomalous kidney,the diameter was lcm.We lien a F6 ureteral stents in the left ureter,and treated the renal stone with Ho：YAG laser lithotriptor through flexible ureteroscope after three weeks.Results The abdominal pain was obviously relieved,without any complication of hematuria or lumbago.We reexamined KUB and extracted the catheter in three days after surgery,and left hospital five days later.We extracted the ureteral stents three weeks later and reexamined CT which showed the stone was empty and uronephrosis was clear away.The patient had no complaints and no stone recurrence with 12 months follow-up.Conclusions Flexible ureterorenoscopy is a effective,safe,highly probable treatment for renal stones less than 2cm in size in anomalous kidney.

关 键 词：肾结石 输尿管结石 肾 

分 类 号：R692.4[医药卫生—泌尿科学]