切换至 "中华医学电子期刊资源库"
高级检索
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:
全文 ( ) 下载PDF ( ) 导出引用
引用本文：

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/OL]. 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/OL]. 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
[1]
Turk TM, Koleski FC, Albala DM. Incidence of urolithiasis in cystectomy patients after intestinal conduit or continent urinary diversion[J]. World J Urol, 1999, 17(5): 305-307.
[2]
Ramsey S, McIlhenny C. Evidence-based management of upper tract urolithiasis in the spinal cord-injured patient[J]. Spinal Cord, 2011, 49(9): 948-954.
[3]
Torricelli FC, Marchini GS, Pedro RN, et al. Ureteroscopy for management of stone disease: an up to date on surgical technique and disposable devices [J]. Minerva Urol Nefrol, 2016, 68(6): 516-526.
[4]
王冰，叶剑飞，赵磊, 等. 经皮肾通道多镜联合顺行治疗回肠膀胱术后上尿路结石1例并文献复习[J]. 北京大学学报(医学版), 2017, 49(4): 733-735.
[5]
El-Assmy A, El-Nahas AR, Mohsen T, et al. Extracorporeal shock wave lithotripsy of upper urinary tract calculi in patients with cystectomy and urinary diversion [J].Urology, 2005, 66(3): 510-513.
[6]
张智，秦卫军，袁建林, 等. 经皮肾镜碎石取石术严重出血的相关因素分析[J/CD]. 中华腔镜泌尿外科杂志(电子版), 2018, 12(3): 194-198
[7]
党博文，米华. 经皮肾镜碎石取石术并发出血的原因及防治[J/CD]. 中华腔镜泌尿外科杂志(电子版), 2018, 12(3): 214-216
[8]
Zhong F, Alberto G, Chen G, et al. Endourologic strategies for a minimally invasive management of urinary tract stones in patients with urinary diversion [J]. Int Braz J Urol, 2018, 44(1): 75-80.
[9]
黄向江，方烈奎，房杰群, 等. 输尿管软镜钬激光碎石术在异常解剖上尿路结石中的应用[J/CD]. 中华腔镜泌尿外科杂志（电子版）, 2013, 7(1): 44-46.
[10]
Hyams ES, Winer AG, Shah O. Retrograde ureteral and renal access in patients with urinary diversion[J]. Urology, 2009, 74(1): 47-50.
[11]
Ramachandra MN, Somani BK. Challenges of Retrograde Ureteroscopy in Patients with Urinary Diversion: Outcomes and Lessons Learnt from a Systematic Review of Literature[J]. Urol Int, 2018, 101(3): 249-255
[12]
彭国辉，李汉忠，曹满超, 等. 顺行输尿管软镜碎石术在输尿管下段复杂病变中的应用[J/CD]. 中华腔镜泌尿外科杂志（电子版）, 2016, 10(1): 47-50.
[13]
解海杰，张保朝，刘春雨. 尿流改道术后并发泌尿系结石的研究进展[J]. 中国中西医结合外科杂志, 2018, 24(3): 361-363.
[14]
El-Nahas AR, Shokeir AA. Endourological treatment of nonmalignant upper urinary tract complications after urinary diversion[J]. Urology. 2010, 76(6): 1302-1308.
[1] 吴春风, 卢国汉, 姚汝贺, 李健辉, 陈文杰, 黄宇. 21 F膀胱镜鞘联合8.0/9.8 F输尿管镜与等离子电切镜在膀胱结石钬激光碎石术中的应用[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2024, 18(06): 579-584.
[2] 杜贵伟, 陆勇, 成博, 贺薏, 梁爽. 钬激光碎石术术后联合坦索罗辛治疗对输尿管结石患者的影响分析[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2024, 18(05): 491-496.
[3] 许娟, 郭逸飞, 张玥, 睢晓静, 张兵. 输尿管镜引导下经尿道组织钳取出膀胱大体积异物一例报告[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2024, 18(03): 294-295.
[4] 王思成, 贾斌, 樊体武. 输尿管硬镜腔内操作"运镜八法"运用技巧及总结[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2024, 18(02): 168-171.
[5] 方钟进, 黄华生, 陈早庆, 郁兆存, 郑哲明, 谢永康, 陈仲宁, 邹演辉, 刘乾海, 陈镇宏. 负压组合式输尿管镜联合输尿管软镜与经皮肾镜治疗复杂性肾结石的比较[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2023, 17(06): 601-604.
[6] 徐慧新, 刘波, 唐立钧. 体外冲击波治疗>1 cm输尿管上段结石失败的预测模型建立[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2023, 17(05): 506-511.
[7] 伍学成, 李远伟, 袁武雄, 王建松, 石泳中, 卢强, 李卓, 陈佳, 刘哲, 滕伊漓, 高智勇. 炎症介质谱联合降钙素原在尿源性脓毒血症中的诊断价值[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2023, 17(05): 476-480.
[8] 胡金科, 钟文. 妊娠期输尿管结石的处理与转归[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2023, 17(04): 377-381.
[9] 吴骏超, 和术臣, 王海峰, 王家平, 邱学德. 输尿管软镜与经皮肾镜治疗有经皮肾镜手术史的复杂性结石的比较[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2023, 17(03): 233-236.
[10] 汪帮琦, 张小明, 肖远松, 聂海波, 吕军, 王尉. 电切镜与输尿管镜在输尿管中下段结石并输尿管开口进镜困难中的应用[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2023, 17(02): 157-159.
[11] 李晓山, 刘巍, 魏世平. 双J管-Folys导尿管捆绑复合体在输尿管镜钬激光碎石术中的应用[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2023, 17(02): 154-156.
[12] 黄日欢, 曹浪泉, 刘思云. 经皮肾镜联合负压吸引鞘在治疗肾和输尿管上段结石中的应用[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2023, 17(01): 54-57.
[13] 马涛, 叶春伟, 李志鹏. 输尿管镜碎石术后留置输尿管支架的必要性探讨[J/OL]. 中华腔镜泌尿外科杂志(电子版), 2022, 16(05): 463-467.
[14] 倪颖, 张铁龙, 王岗, 高玉龙, 陈韶鹏, 倪家璇. 未预置支架逆行输尿管镜治疗近端输尿管结石手术中的困难与应对[J/OL]. 中华临床医师杂志(电子版), 2024, 18(09): 795-801.
[15] 杨冰, 潘东亮, 晋连超, 周哲, 高鹏飞, 周赜, 张志宏, 李宁忱. 体外冲击波碎石对高密度输尿管结石治疗效果的影响因素分析[J/OL]. 中华临床医师杂志(电子版), 2022, 16(04): 308-311.
阅读次数
全文


摘要

版权所有 中华医学会 中华医学电子音像出版社有限责任公司  京ICP备14006079号-1  网络出版服务许可证：(署)网出证(京)字第075号

AI
小
编
AI小编
你好！我是《中华医学电子期刊资源库》AI小编，有什么可以帮您的吗？