智能控压经自然腔道取石术治疗鹿角形肾结石并感染1例报告(附手术视频)  

Natural orifice transluminal endoscopic lithotripsy with intelligent control of renal pelvic pressure for staghorn calculi with infection:a case report with surgical video

作　　者：邓小林[1] 黄鑫 邝金 翟启良 郭涛 彭作锋[1] 宋乐明[1] 杜传策[1] Deng Xiaolin;Huang Xin;Kuang Jin;Zhai Qiliang;Guo Tao;Peng Zuofeng;Song Leming;Du Chuance(Department of Urology,Ganzhou Peoples Hospital,Ganzhou 341000,China)

机构地区：[1]赣州市人民医院泌尿外科,赣州341000

出　　处：《中华泌尿外科杂志》2023年第5期381-382,共2页Chinese Journal of Urology

摘　　要：完全鹿角形肾结石的治疗首选经皮肾镜取石术,但该术式存在肾功能损害、出血、感染、炎症扩散等风险。本文报道1例完全鹿角形结石(大小8.3cm×4.5cm)合并尿路感染患者,结石CT值平均为1321HU,尿细菌培养提示奇异变形杆菌感染,给予敏感抗生素抗感染治疗3d。行一期智能控压经自然腔道取石术,术后第1天腹部X线平片示残留1.0cm×0.5cm结石,无并发症。Percutaneous nephrolithotripsy is the first line treatment for complete staghorn calculi,but there are risks such as renal function damage,bleeding,and infection.A case of complete staghorn calculi 8.3 cm×4.5 cm and mean CT value of 1321 HU was reported.Urine culture suggested proteus mirabilis infection.The patient was given sensitive antibiotics for 3 days,and was treated with one session of natural orifice transluminal endoscopic lithotripsy with intelligent control of renal pelvic pressure.KUB on the first postoperative day showed residual stones of 1.0 cm×0.5 cm.There were no complications.

关 键 词：肾结石 鹿角形 取石术 智能控压 

分 类 号：R699.2[医药卫生—泌尿科学]