通过皮肤结石切除术时引导线的结结:一个复杂的手术内挑战
Ashay A Patil1, Shashank Sharma1, Amol Kamble1
1Urology, Grant Government Medical College and Sir J.J. Group of Hospitals, Mumbai, IND.
Cureus
|October 27, 2025
概括
穿皮瘤切除术 (PCNL) 期间导线结结是一种罕见的并发症. 一种二次刺穿技术成功地解开了结,确保了石头的完全清除和患者的恢复.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
- 腎石病的管理方法
背景情况:
- 透皮骨切除术 (PCNL) 是复杂结石的主要治疗方法.
- 术内并发症虽然不常见,但可能会挑战PCNL程序.
- 之前的干预措施可能会增加诸如导线结结等并发症的风险.
研究的目的:
- 在PCNL期间报告一个罕见的导线结结的案例.
- 描述这种并发症的成功的手术内管理策略.
- 在复杂的PCNL案件中强调警和替代访问的重要性.
主要方法:
- 一个35岁男性的病例报告,他接受了易患残留结石的PCNL治疗.
- 在导线推进过程中遇到显著的阻力,通过光镜证实是结结.
- 通过二次穿孔来解决结节,以替代访问和导线移除.
主要成果:
- 通过二次访问技术成功移除结结的导线.
- 完成PCNL与完整的石头清理.
- 没有事件的患者恢复,并在六周后确认无石头状态.
结论:
- 导线结结是PCNL中罕见但严重的并发症,特别是在干预后.
- 细致的光镜监测和迅速识别耐药性至关重要.
- 替代性接入策略对于应对这些手术内挑战和确保患者安全至关重要.
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