“遗忘”输尿管支架包覆

R. S. Frantsev, A. V. Kuchuk
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引用次数: 0

摘要

本文报告一位罕见的临床观察患者S., 50岁,长期患有尿石症,以左侧肾绞痛,慢性肾盂肾炎加重的临床表现住进医院泌尿科。从记忆来看:在2021年,按照指示进行了双输尿管内支架置入。尽管出院时有详细的建议,但直到2023年,患者都没有咨询医生或服用任何药物。检查显示慢性肾盂肾炎加重和尿流出受损的原因是两条输尿管的结痂(“遗忘”)支架,左侧有混凝土阻塞尿流出。右侧输尿管镜,取出支架碎片;左侧输尿管镜检查,接触碎石,取出结痂的输尿管支架;恢复了正常的尿路和独立排尿。尽管在手术过程中存在技术困难,但术后没有出现并发症。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
«Forgotten» encrusted ureteral stents
The article presents a rare clinical observation of patient S., 50 years old, a long-term sufferer of urolithiasis, who was admitted to the urological department of the hospital with a clinical picture of renal colic on the leſt side, exacerbation of chronic pyelonephritis. From the anamnesis: in 2021, internal stenting of both ureters was performed as indicated. Despite detailed recommendations at discharge, the patient did not consult doctors or take any medications until 2023. The examination revealed that the cause of exacerbation of chronic pyelonephritis and impaired urine outflow were encrusted (“forgotten”) stents in both ureters, in the leſt of which there was a concrement obstructing urine outflow. Ureteroscopy on the right side, stent fragments extraction; ureteroscopy on the leſt side, contact lithotripsy, removal of the encrusted ureteral stent; urinary passage and independent urination were restored. Despite technical difficulties during the surgical intervention, the postoperative period proceeded without complications.
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