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.
作者
邓小林
黄鑫
邝金
翟启良
郭涛
彭作锋
宋乐明
杜传策
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)
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2023年第5期381-382,共2页
Chinese Journal of Urology
关键词
肾结石
鹿角形
取石术
智能控压
Kidney calculi
Staghorn
Lithotripsy
Intelligent control of renal pelvic pressure
