摘要
目的探讨肾窦脂肪瘤病(renalsinus lipomatosis,RSL)合并肾脏铸型结石的临床诊断特点,以及经皮肾镜手术处理其合并结石的初步经验。方法2005年1月~2007年6月,我院收治复杂肾结石547例,其中2例经B超、CT、MRI等检查诊断为RSL合并肾脏铸型结石。均为女性,年龄42、82岁。采用超声引导经皮肾镜气压弹道联合超声装置碎石,保留患侧肾脏。结果经皮肾镜碎石取石术分别取出结石7ml和5ml。术后1周复查KUB未见结石残留。术中取肾盂黏膜下脂肪组织送病理检查,结果为增生纤维脂肪组织,伴炎性渗出。术后随访半年,未见结石复发,肾窦和肾周脂肪组织较前无明显变化。结论典型的影像学检查结果有助于RSL的诊断,超声引导下经皮肾镜处理RSL合并肾脏结石安全有效。
Objective To study the characteristics and diagnosis of renal sinus lipomatosis (RSL) complicated with renal staghorn calculi, and report our preliminary experience on percutaneous nephrolithotripsy for the disease. Methods A total of 547 patients with complex renal calculi were admitted to our hospital from January 2005 to June 2007. In 2 of them, RSL complicated with renal staghorn calculi was diagnosed by B-ultrasonography, CT, and MRI. Both the patients were female, aged 42 and 82 years respectively. B-...
出处
《中国微创外科杂志》
CSCD
2008年第3期255-257,共3页
Chinese Journal of Minimally Invasive Surgery
关键词
肾肿瘤
脂肪瘤病
肾结石
经皮肾镜
Kidney neoplasms
Lipomatosis
Renal Calculus
Percutaneous nephrolithotripsy
