经皮肾镜取石术中经脾穿刺:相同并发症的预后谱

R. Ugalde-Resano , B. Montaño-Roca , G. Montiel-Ugalde, J.A. Varela-Prieto, D. Olvera-Posada, C.E. Méndez-Probst
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引用次数: 0

摘要

经皮肾镜取石术是一种常用于治疗肾结石的泌尿道技术。然而,这一过程并非没有并发症。脾损伤是非常罕见的报道率为1%的总病例负荷。我们在此报告两个经皮肾镜取石术中脾穿刺的病例,说明两种不同的结果。第一例患者无症状,在切除肾造口术后第三天出院,没有任何血流动力学受损的迹象。在第二个病例中,患者表现为血流动力学不稳定,腹部计算机断层扫描显示腹腔内有游离液体。急诊开腹手术发现深部外周撕裂伤(长度为20mm × 5mm),需要脾切除术。在对现有文献进行全面回顾后,我们只能找到11例其他脾脏损伤的治疗结果报告。患者血流动力学状态是决定治疗方式的主要因素。
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Trans-splenic puncture during percutaneous nephrolithotomy: Outcome spectrum of the same complication

Percutaneous nephrolithotomy is an endourologic technique commonly used in the management of nephrolithiasis. However, this procedure is not complication-free. Splenic injury is exceptionally rare with a reported rate of 1% from the total case load. We present herein two cases of splenic puncture during percutaneous nephrolithotomy that illustrate two different outcomes. In the first case, the patient remained asymptomatic and was discharged on her third post-operative day after removing the nephrostomy, without any sign of hemodynamic compromise. In the second case, the patient presented with hemodynamic instability and an abdominal computed tomography scan was done that showed free fluid in the peritoneal cavity. Emergency laparotomy was performed and revealed a deep peripheral laceration (20 mm × 5 mm in length) that required splenectomy. After a thorough review of the existing literature, we could find only 11 other instances of injury to the spleen in which treatment outcomes were reported. Patient hemodynamic status was the main factor in deciding on the type of treatment.

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来源期刊
Revista mexicana de urologia
Revista mexicana de urologia Medicine-Urology
CiteScore
0.20
自引率
0.00%
发文量
49
期刊介绍: Revista Mexicana de Urología (RMU) [Mexican Journal of Urology] (ISSN: 0185-4542 / ISSN electronic: 2007-4085) is bimonthly publication that disseminates research by academicians and professionals of the international medical community interested in urological subjects, in the format of original articles, clinical cases, review articles brief communications and letters to the editor. Owing to its nature, it is publication with international scope that disseminates contributions in Spanish and English that are rigorously reviewed by peers under the double blind modality. Neither journalistic documents nor those that lack rigorous medical or scientific support are suitable for publication.
期刊最新文献
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