对珊瑚状和尿道结石的管理具有挑战性
Catrinel-Ana Codău1, Flavia Coman1, Bogdan Novac1,2
1Grigore T. Popa University of Medicine and Pharmacy, Iasi, Romania.
Archive of clinical cases
|December 23, 2024
概括
珊瑚状结石是复杂的. 这一案例显示了使用尿路透镜,皮肤穿透性利切除术 (PCNL) 和冲击波透术的成功治疗方法,强调了重症质病的多学科方法.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 腎臟病學 (nephrology) 是一種醫學專業.
- 外科手术案例研究
背景情况:
- 珊瑚状结石是大型的,复杂的结石,与严重的并发症有关.
- 复发性感染和功能障碍是晚期结石病患者的常见挑战.
- 一名34岁的女性患有并发症,呈现出一块大右侧珊瑚状石头和尿管盆石头.
研究的目的:
- 描述一个患有大珊瑚形结石的病人复杂的管理.
- 突出高级结石病多模式外科手术方法的有效性.
- 强调一个多学科的战略在管理具有挑战性的结石的重要性.
主要方法:
- 半刚性尿道透视术与激光光治疗尿道结石.
- 对于珊瑚状结石而言,通过皮肤进行结石切除术 (PCNL).
- 对于剩余的石头碎片,分阶段的体外冲击波石化 (ESWL).
主要成果:
- 成功去除尿道石头和管理大珊瑚形石头.
- 在PCNL期间克服解剖学挑战.
- 通过分阶段ESWL解决剩余石头,导致积极的结果.
结论:
- 复杂的珊瑚状结石需要量身定制的,通常是多阶段的,手术干预.
- PCNL和ESWL是管理大型和复杂结石的关键工具.
- 多学科的方法对于优化晚期结石病例的结果至关重要.
更多相关视频
相关概念视频
Kidney Structure
68.8K
The kidneys are two large bean-shaped organs located in the upper abdomen. They filter the blood several times a day to remove toxins and rebalance water and electrolytes of the circulatory system via the renal veins. The kidneys receive blood directly from the heart via the renal arteries. These arteries enter the kidney at the hilum, the concave surface of the bean, where they branch and divide into smaller vessels and capillaries.
68.8K
Renal Tubule and Collecting Duct
770
The renal tubule is divided into three parts: the proximal convoluted tubule (PCT), the Loop of Henle (LOH), and the distal convoluted tubule (DCT).
Proximal Convoluted Tubule (PCT):
The PCT is the initial segment of the renal tubule, extending from the Bowman's capsule that encloses the glomerulus. Its convoluted structure and microvilli-lined cells increase the surface area for reabsorption. The PCT reabsorbs glucose, amino acids, sodium, and water from the filtrate, ensuring essential...
Proximal Convoluted Tubule (PCT):
The PCT is the initial segment of the renal tubule, extending from the Bowman's capsule that encloses the glomerulus. Its convoluted structure and microvilli-lined cells increase the surface area for reabsorption. The PCT reabsorbs glucose, amino acids, sodium, and water from the filtrate, ensuring essential...
770
Renal Corpuscle
1.6K
The glomerulus and Bowman's capsule are two essential components of the nephron, which is the functional unit of the kidney. These microscopic structures play a critical role in the process of blood filtration to produce urine.
Glomerulus: Structure and Function
The glomerulus is a tiny, intricate network of capillaries located at the beginning of the nephron. It's enveloped by the Bowman's capsule and receives its blood supply from an afferent arteriole, which divides into numerous...
Glomerulus: Structure and Function
The glomerulus is a tiny, intricate network of capillaries located at the beginning of the nephron. It's enveloped by the Bowman's capsule and receives its blood supply from an afferent arteriole, which divides into numerous...
1.6K
Disorders of the Urinary System
232
The urinary system is responsible for eliminating waste and excess fluids from the body. However, disorders of the urinary system can arise due to various reasons like infections, stress, age, congenital abnormalities, and lifestyle.
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
Urinary tract infections (UTIs) are one of the most common urinary system disorders. They are caused by bacteria that enter the urethra and can spread to the bladder resulting in cystitis. Pyelonephritis is the result of a UTI that has ascended to the level of the...
232
Nephrons
2.1K
The kidneys are intricate organs with millions of working units known as nephrons. Each nephron features two major structures: the renal corpuscle, which facilitates blood plasma filtration, and the renal tubule, which handles the glomerular filtrate. Blood supply is directly linked to the nephrons. The renal corpuscle consists of the glomerulus, a capillary network, and the Bowman's capsule, a double-walled epithelial structure that encases the glomerulus. The filtering of blood plasma...
2.1K
Chronic Pancreatitis II: Collaborative Care
70
The management of chronic pancreatitis is multifaceted, involving a comprehensive approach that includes thorough assessment, diagnostic testing, and a variety of management strategies.
Assessment:
Assessment:
70


