巨大的鹿角石导致下腔静脉压缩:一个新奇的案例报告
Mohammad A Alghafees1, Saleha Abdul Rab2, Hiba M Raheel2
1College of Medicine, King Saud Bin Abdulaziz University for Health Sciences.
Annals of medicine and surgery (2012)
|June 26, 2023
概括
通过皮肤瘤切除术 (PCNL) 成功地在5厘米以上的范围内碎片化了巨大的鹿角结石 (SC),即使压缩下腔静脉 (IVC). 这个案例证明了PCNL.
科学领域:
- 腎臟病學 (nephrology) 是一種醫學專業.
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 手术创新 在外科创新.
背景情况:
- 鹿角结石 (SC) 是大型结石填充盆和囊,常见于发展中国家.
- 大规模的SC (>5厘米) 通常通过开放式手术进行治疗,尽管穿皮神经瘤切除术 (PCNL) 是大型石头的标准.
- 对大规模SC的PCNL的文献很少,特别是对于压缩重要结构的石头,如下腔静脉 (IVC).
研究的目的:
- 报告使用PCNL成功管理大规模的双边鹿角计算.
- 突出PCNL对极大的结石的可行性,包括导致IVC压缩的结石.
主要方法:
- 一名63岁的男性患有多细胞血病,呈现出巨大的双边鹿角结石.
- 扫描显示了7.3×5.5厘米 (右) 和1.8×4.5厘米 (左) 的石头,右边的石头压缩了IVC.
- 进行了右侧PCNL,使用超声指导.
主要成果:
- PCNL实现了80%的碎片化大规模的右鹿角微积分.
- 这代表了中东地区首次报告的压缩IVC的结石病例.
- 该程序在没有额外干预的情况下取得了成功.
结论:
- 超声波引导的PCNL有效治疗巨大的鹿角结石.
- PCNL可以成为巨大的SC开放手术的可行替代方案,即使使用IVC压缩.
- 需要对超声波引导的PCNL用于超过5厘米的石头进行进一步的研究.
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