19年前被遗忘的尿路支架在局部麻醉下从移植脏中移除
S S Gosein1, J A Forster1, J F Bolton1
1Bradford Teaching Hospitals NHS Foundation Trust, UK.
Annals of the Royal College of Surgeons of England
|September 24, 2024
概括
移植脏后遗忘的尿路支架可能会导致严重的并发症. 这一案例突出了成功移除了19年保留的支架,强调了及时移除和监测移植接受者的重要性.
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
- 移植医学 移植医学
背景情况:
- 尿道支架是在移植后使用的,以防止尿道造囊术的并发症.
- 理想的支架移除通常是在移植后2至4周之间.
- 被遗忘的支架可以导致全移植功能障碍和阻塞性尿路病变.
研究的目的:
- 报告一个独特的案例,一个尿管支架在移植接受者身上保留了超过19年.
- 为了记录长期保留的支架的成功移除而没有并发症.
- 为了强调被遗忘的尿路支架的潜在长期后果.
主要方法:
- 一名59岁的男性移植接受者接受了长期保留的尿路支架.
- 支架在局部麻醉下使用柔性囊镜进行了切除.
- 观察到没有层,碎片化和石块形成.
主要成果:
- 在移植后的19多年里,尿管支架被成功保留了.
- 留住的支架没有表现出层,碎片或石块形成的迹象.
- 摘除过程是在局部麻醉下通过柔性囊镜进行的.
结论:
- 这一案例代表了在移植患者中记录下来的最长时间保留的尿路支架.
- 被遗忘的尿路支架,即使经过长时间的月经周期,也可以在最小的并发症下移除.
- 在移植中,对支架切除方案的警和长期的患者随访至关重要.
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