针状肾镜辅助标准通道经皮肾镜碎石取石术治疗重度Ⅷ因子缺乏孤立肾完全鹿角型结石一例并文献复习  

Needle-perc-assisted standard percutaneous nephrolithotomy for the treatment of patients with complete staghorn stones in a solitary kidney combined with severe factor Ⅷ deficiency(hemophilia type A):a case report and literature review

作　　者：但超 姬超岳 肖博[2] 杨勇 姚启盛 龚小新 王黎 王俊霖 赵洪强 李建兴[2] DAN Chao;JI Chaoyue;XIAO Bo;YANG Yong;YAO Qisheng;GONG Xiaorin;WANG Li;WANG Junlin;ZHAO Hongqiang;LI Jiancing(Department of Urology and Andrology,TAIHE Hospital,Affiliated Hospital of Hubei University of Medicine,Shiyan,442000,China.;Department of Urology,Beijing Tsinghua Changgung Hospital,School of Clinical Medicine,Tsinghua University,Beijing,102218,China;Department of Hepatopancreatobiliary Center,Beijing Tsing hua Changgung Hospital,School of Clinical Medicine,Tsinghua University,Beijing,102218,China)

机构地区：[1]十堰市太和医院,湖北医药学院附属医院泌尿外科男科,十堰442000 [2]清华大学附属北京清华长庚医院泌尿外科,清华大学临床医学院,北京102218 [3]清华大学附属北京清华长庚医院肝胆胰中心,清华大学临床医学院,北京102218

出　　处：《微创泌尿外科杂志》2024年第4期277-280,共4页Journal of Minimally Invasive Urology

基　　金：国家自然科学基金(81901957)。

摘　　要：经皮肾镜碎石取石术(percutaneous nephrolithotomy,PCNL)是治疗鹿角型结石的首选方法,但对于合并凝血功能障碍的患者,出血风险明显增加,严重者危及生命。本文报道了全超声引导下针状肾镜(Needleperc)辅助标准通道经皮肾镜碎石取石术治疗合并重度Ⅷ因子缺乏A型血友病的孤立肾完全鹿角型结石的患者1例,通过查阅相关文献,探讨经皮肾镜手术对合并凝血功能障碍患者的安全性以及针状肾镜的临床应用价值。Objective:Percutaneous nephrolithotomy(PCNL)is the preferred method for the treatment of staghorn stones,but for patients with coagulation dysfunction,the risk of bleeding is significantly increased,and severe cases may be life-threatening.A case of solitary kidney complete staghorn stones complicated with severe factorⅧdeficiency hemophilia A and total ultrasound-guided Needle-perc-assisted standard PCNL was reported.To investigate the safety of PCNL in patients combined with coagulation dysfunction and the clinical value of needle-perc were analyzed by reviewing relevant literature.

关 键 词：经皮肾镜碎石取石术 针状肾镜 血友病 凝血功能障碍 孤立肾 

分 类 号：R692.4[医药卫生—泌尿科学]