在胸内中进行皮肤透神经切除术:一种罕见的解剖变体,具有成功的结果
Sarthak Sharma1, Neeraj Agarwal1, Karan Garg1
1Urology and Renal Transplant Surgery, Sawai Man Singh (SMS) Medical College, Jaipur, IND.
Cureus
|February 2, 2026
概括
胸部脏,一种罕见的外,可以呈现复杂的结石. 这一案例突显了成功的微创性治疗,使用皮肤透神经切除术 (PCNL) 治疗胸内脏中的鹿角结石.
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.
- 胸部外科手术 胸部外科手术
背景情况:
- 胸部 (外) 异常罕见,通常是偶然发现的.
- 脏结石 (脏结石) 在脏内是非常罕见的.
- 与先天性腹膜的共存进一步增加了罕见性.
研究的目的:
- 报告一种罕见的结石病例,发生在带有先天性隔膜的胸内中.
- 为了证明这种复杂的病例的最小侵入性管理的可行性和安全性.
主要方法:
- 一名32岁的女性患者患有左侧胸内和大鹿角结石.
- 在超声波和CT指导下进行了皮肤穿的nephrostomy.
- 穿皮瘤切除术 (PCNL) 通过使用气动石器通过第9个肋间间进行.
主要成果:
- 实现了对鹿角结石的完全清除.
- 患者经历了一次平稳的恢复,没有呼吸道并发症.
- 已经证明了内脏中复杂的成功管理.
结论:
- 像PCNL这样的微创手术可以安全有效地应用于胸内.
- 精细的基于图像的规划和多学科的合作对于成功至关重要.
- 这一案例扩大了对处理具有复杂石头负担的罕见外的理解.
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