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中华腔镜泌尿外科杂志(电子版)

中华腔镜泌尿外科杂志(电子版) ›› 2019, Vol. 13 ›› Issue (05) : 350 -352. doi: 10.3877/cma.j.issn.1674-3253.2019.05.016

所属专题： 经典病例； 经典病例； 文献；

病例研究

尿流改道术后输尿管结石一例报告并文献复习
何君伟1, 王志超1, 汤桂兴1, 王树声1,†(), 向松涛1   
  1. 1. 510120　广州中医药大学第二附属医院泌尿外科
  • 收稿日期:2019-01-21 出版日期:2019-10-01
  • 通信作者: 王树声

Ureteral calculi in patient with urinary diversion:a case report and literature review

Junwei He1, Zhichao Wang1, Guixing Tang1, Shusheng Wang1,†(), Songtao Xiang1   

  1. 1. Department of Urology, the Second Affiliated Hospital of Guangzhou University of Chinese Medicine, Guangzhou 510120, China
  • Received:2019-01-21 Published:2019-10-01
  • Corresponding author: Shusheng Wang
  • About author:
    Correspongding author: Wang Shusheng, Email:
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何君伟, 王志超, 汤桂兴, 王树声, 向松涛. 尿流改道术后输尿管结石一例报告并文献复习[J]. 中华腔镜泌尿外科杂志(电子版), 2019, 13(05): 350-352.

Junwei He, Zhichao Wang, Guixing Tang, Shusheng Wang, Songtao Xiang. Ureteral calculi in patient with urinary diversion:a case report and literature review[J]. Chinese Journal of Endourology(Electronic Edition), 2019, 13(05): 350-352.

目的

探讨经皮肾通道联合软性输尿管镜处理尿流改道术后输尿管结石患者的技巧与疗效。

方法

回顾性分析2017年12月我院收治的1例尿流改道术后输尿管-新膀胱吻合口处结石患者的临床资料并查阅相关文献。手术关键在于术前设计穿刺通道，术中精准穿刺至目标上组肾盏。

结果

该例患者成功完成经皮肾通道联合软性输尿管镜手术，手术时间为70 min，住院时间为7 d，术中出血量为20 ml，术中术后未发生严重并发症，术后复查结石完全清除。

结论

经皮肾通道联合输尿管软镜手术处理尿流改道术后输尿管结石安全可行。

关键词: 尿流改道, 输尿管结石, 输尿管镜
Objective

To explore the technique and effect of percutaneous nephrolithotripsy combined with flexible ureteroscope for treatment of ureteral calculi in patients with urinary diversion.

Methods

Clinical data of one case of ureteral-neobladder anastomotic calculi treated in our hospital in December 2017 were retrospectively analyzed and the related literatures were reviewed. The key procedure was to design a puncture channel before operation and accurately puncture to the upper group of renal calyceal.

Results

The patient was successfully received percutaneous nephrolithotripsy and flexible ureteroscope. The operation time was 70 minutes and the hospital stay was 7 days, and the intraoperative bleeding was 20 ml. There were no serious complications during and after operation, and the stone was completely removed.

Conclusion

Percutaneous nephrolithotripsy combined with flexible ureteroscope in the treatment of ureteral calculi after ureter diversion is safe and feasible.

Key words: Urinary diversion, Ureteral calculi, Flexible ureteroscope
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