[1]叶雄俊,李建兴,黄晓波,等.肾窦脂肪瘤病的临床诊断特点及肾镜处理其合并铸型结石的初步探讨[J].中国微创外科杂志,2008,08(3):255-257.
　Ye Xiongjun,Li Jianxing,Huang Xiaobo,et al.Preliminary Experiences on Diagnosis and Percutaneous Nephrolithotripsy for Renal Sinus Lipomatosis Complicated with Renal Staghorn Calculi[J].Chinese Journal of Minimally Invasive Surgery,2008,08(3):255-257.
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肾窦脂肪瘤病的临床诊断特点及肾镜处理其合并铸型结石的初步探讨()
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《中国微创外科杂志》[ISSN:1009-6604/CN:11-4526/R]

卷:
08
期数:
2008年3期
页码:
255-257
栏目:
出版日期:
2008-10-25

文章信息/Info

Title:
Preliminary Experiences on Diagnosis and Percutaneous Nephrolithotripsy for Renal Sinus Lipomatosis Complicated with Renal Staghorn Calculi
作者:
叶雄俊; 李建兴; 黄晓波; 孙烨①; 孙昆昆②; 杨波; 马凯; 王晓峰
北京大学人民医院泌尿外科，北京100034
Author(s):
Ye Xiongjun;  Li Jianxing;  Huang Xiaobo;  et al.
Department of Urology, Peking University People’s Hospital, Beijing 100034, China
关键词:
肾肿瘤; 脂肪瘤病; 肾结石; 经皮肾镜
Keywords:
Kidney neoplasms; Lipomatosis; Renal Calculus; Percutaneous nephrolithotripsy
分类号:
R737.11
文献标志码:
A
摘要:
目的探讨肾窦脂肪瘤病（renal sinus 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7 ml和5 ml。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。
Abstract:
ObjectiveTo 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.MethodsA 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ultrasonographyguided percutaneous nephrolithotripsy was performed on the two patients without removing the kidneys.ResultsTotally, 7 ml and 5 ml of stones were removed respectively from the two patients by percutaneous nephrolithotripsy. No retained calculi were found by KUB performed one week postoperation. Biopsy of the submucosal fat obtained from the renal pelvis during the operation showed hyperplasia and fibrosis of fatty tissues and inflammatory effusion. The patients were followed up for half a year, during which no recurrence of renal calculi occurred, and no abnormal fatty tissues were found at the renal sinus or surrounding the kidney.ConclusionsImaging examination is valuable for the diagnosis of RSL. Bultrasonographyguided percutaneous nephrolithotripsy is safe and effective for RSL complicated with renal calculi.

参考文献/References:

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备注/Memo

备注/Memo:
①放射科，②病理科
更新日期/Last Update: 2013-10-22