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Rare Case of Spontaneous Perinephric Hematoma with Two-Year Follow-Up
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作者 Lit Kiat Tan George Eng Geap Lee 《Open Journal of Urology》 2020年第8期233-238,共6页
<strong>Background:</strong> <span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">Spontaneous perinephric... <strong>Background:</strong> <span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">Spontaneous perinephric hematoma with no associated pa</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">thology or provocation is a rare clinical phenomenon. The hematoma requires a two</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">year interval for a favorable hematoma resolution, and no associated hypertension or renal scarring. </span><b><span style="font-family:Verdana;"><strong></strong></span><strong><span style="font-family:Verdana;">Aims:</span><span style="font-family:Verdana;"></span></strong></b></span><b> </b><span style="font-family:Verdana;">Evidence of the efficacy of conservative management for spontaneous perinephric hematoma with a 2</span></span></span><span style="font-family:Verdana;"><span style="font-family:Verdana;"><span style="font-family:Verdana;">-</span></span></span><span><span><span style="font-family:;" "=""><span style="font-family:Verdana;">year follow up. </span><b><span style="font-family:Verdana;"><strong></strong></span><strong><span style="font-family:Verdana;">Case Presentation:</span><span style="font-family:Verdana;"></span></strong></b></span><span style="font-family:Verdana;"> A previously healthy 38-year-old woman, presented with a sudden onset of left flank pain, associated with fatigue and pallor. The patient remained hemodynamically stable with no significant history or associated provocations identified. </span><b><span style="font-family:Verdana;"><strong></strong></span><strong><span style="font-family:Verdana;">Conclusion:</span><span style="font-family:Verdana;"></span></strong></b></span><b> </b><span style="font-family:Verdana;">The acute management strategy is favorable in s 展开更多
关键词 Spontaneous Perinephric Hematoma gerota’s fascia KIDNEY Lenk’s Triad Conservative Management
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Gerota筋膜内后腹腔镜应用于肥胖患者的体会 被引量:1
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作者 孙方浒 申鹏飞 +4 位作者 张文刚 朱汝健 王仙友 陈湘 张显军 《中国内镜杂志》 CSCD 北大核心 2006年第10期1059-1061,共3页
目的探讨Gerota筋膜内后腹腔镜的临床应用价值。方法36例肥胖患者采用12肋下腋后线孔气囊扩张建立Gerota筋膜内后腹腔间隙,进行腹腔镜肾切除4例,肾囊肿去顶12例,肾盂输尿管上段切开取石17例,离断性肾盂成形1例,肾上腺肿瘤切除2例。结果3... 目的探讨Gerota筋膜内后腹腔镜的临床应用价值。方法36例肥胖患者采用12肋下腋后线孔气囊扩张建立Gerota筋膜内后腹腔间隙,进行腹腔镜肾切除4例,肾囊肿去顶12例,肾盂输尿管上段切开取石17例,离断性肾盂成形1例,肾上腺肿瘤切除2例。结果35例手术顺利完成,仅1例输尿管结石因术中气腹机故障改开放手术。手术时间20~160min(平均63.1min)。术中出血量10~240mL(平均55mL)。肾盂输尿管上段切开取石患者,6例术后少许漏尿2~6d(平均3.5d)。住院时间4~26d。术后随访35例,2~13个月(平均5.1个月),未见严重并发症。结论为减少脂肪组织的干扰,肥胖症患者可在Gerota筋膜内建立后腹腔间隙行腹腔镜手术,简便易行,路径直接,组织分离少,手术时间缩短。 展开更多
关键词 腹腔镜术 腹膜后腔 肥胖症 肾筋膜
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