CAJ | 학술논문

目的探讨输尿管软镜治疗异位肾合并肾结石的可行性.方法应用STOZE输尿管软镜治疗左侧异位肾(左肾位于右盆腔)合并肾结石患者一例.患者,男,40岁,因“右下腹部反复疼痛5d”入院,入院后行腹盆腔CT二维重建示:左侧异位肾及左肾结石,结石直径约lcm,留置F6输尿管支架管3周后,行输尿管软镜钬激光碎石术,手术顺利.结果患者腹痛明显缓解,无血尿、腰痛等并发症,术后3d复查KUB,并拔除导尿管,5d后出院,3周拔除支架管,并复查腹部CT示结石排净,积水消失.术后随访12个月,患者无不适,未见结石复发.结论输尿管软镜治疗直径＜ 2cm的异位肾合并肾结石疗效确切,并发症少,可行性高,值得推广.
목적 탐토수뇨관연경치료이위신합병신결석적가행성.방법 응용STOZE수뇨관연경치료좌측이위신(좌신위우우분강)합병신결석환자일례.환자,남,40세,인“우하복부반복동통5d”입원,입원후행복분강CT이유중건시:좌측이위신급좌신결석,결석직경약lcm,류치F6수뇨관지가관3주후,행수뇨관연경화격광쇄석술,수술순리.결과 환자복통명현완해,무혈뇨、요통등병발증,술후3d복사KUB,병발제도뇨관,5d후출원,3주발제지가관,병복사복부CT시결석배정,적수소실.술후수방12개월,환자무불괄,미견결석복발.결론 수뇨관연경치료직경＜ 2cm적이위신합병신결석료효학절,병발증소,가행성고,치득추엄.
Objectives To evaluate the feasibility of flexible ureterorenoscopy in management of renal calculi in anomalous kidney.Methods One case of renal calculi in left anomalous kidney was treated with STOZE flexible ureteroscope.Male patient,40 years,was hospitalized because of " repeatedly pain of right lower abdomen for five days".The two-dimensional reconstruction CT of abdomen and pelvic showed:one renal stone in left anomalous kidney,the diameter was lcm.We lien a F6 ureteral stents in the left ureter,and treated the renal stone with Ho:YAG laser lithotriptor through flexible ureteroscope after three weeks.Results The abdominal pain was obviously relieved,without any complication of hematuria or lumbago.We reexamined KUB and extracted the catheter in three days after surgery,and left hospital five days later.We extracted the ureteral stents three weeks later and reexamined CT which showed the stone was empty and uronephrosis was clear away.The patient had no complaints and no stone recurrence with 12 months follow-up.Conclusions Flexible ureterorenoscopy is a effective,safe,highly probable treatment for renal stones less than 2cm in size in anomalous kidney.