在左侧完整双重系统中尿道结算伪装成受影响的石头:一个案例报告和文献综述
Ayokunle Adenipekun1, Nader Gaballa1, Maitrey Darrad2
1Urology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, GBR.
Cureus
|August 8, 2023
概括
双重脏中的尿路结石存在独特的管理挑战. 对比CT扫描对于诊断这些复杂的泌尿病例至关重要,改善了患者的治疗结果.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 医疗成像医学成像
背景情况:
- 尿路结石是常见的泌尿器科问题,管理受到患者因素和解剖学的影响.
- 单边完全双重脏在治疗尿路结石方面存在独特的挑战,目前关于尿路透镜干预的文献有限.
研究的目的:
- 提高泌尿科医生的意识,以诊断和管理尿路结石在单边完全双重的患者.
- 突出非对比计算断层扫描 (CT) 扫描在识别双重系统的诊断局限性.
主要方法:
- 一个28岁的男性的病例介绍,他患有反复出现的侧翼疼痛.
- 诊断最初是通过非对比的CT显示一个膀结石.
- 在双重系统中的石头在手术内发现,通过尿路透镜和激光碎片处理进行管理.
主要成果:
- 一个6毫米冲击左膀管道结石被确定.
- 石头位于左双重系统内,需要尿路透镜检查.
- 成功管理涉及激光碎片和尿道支架插入.
结论:
- 在完全双重脏中治疗尿路结石是复杂的.
- 无对比CT扫描在检测双重系统方面存在局限性.
- 对于患有持续症状的患者,建议进行增强对比度的CT扫描,以完全界定脏和收藏系统解剖学.
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