[1]刘永达,袁坚,戚德锋,等.经皮肾镜取石术并发乳糜尿的诊治:附1例报告并文献复习[J].中华腔镜泌尿外科杂志(电子版),2012,(04):266-269.
 LIU Yong-da,YUAN Jian,QI De-feng,et al.Chyluria after percutaneous nephrolithotomy:a case report and literature review[J].,2012,(04):266-269.
点击复制

经皮肾镜取石术并发乳糜尿的诊治:附1例报告并文献复习()
分享到:

中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2012年04期
页码:
266-269
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Chyluria after percutaneous nephrolithotomy:a case report and literature review
作者:
刘永达袁坚戚德锋罗金泰雷鸣张泽曾国华
广州医学院第一附属医院微创外科中心泌尿外科,广东省泌尿外科重点实验室,广州,510230
Author(s):
LIU Yong-daYUAN JianQI De-fengLUO Jin-taiLEI MingZHANG ZeZENG Guo-hua
关键词:
经皮肾镜取石术肾结石乳糜尿并发症
摘要:
目的 探讨经皮肾镜取石术(PCNL)并发乳糜尿的临床特点及治疗方法.方法 回顾性分析2011 年5 月收治的1 例PCNL 并发乳糜尿的临床资料,并进行文献复习.患者,女,64 岁,因"左肾盂肾下盏结石"行"左侧微通道PCNL",术后当天发现左肾造瘘管和尿管均引出乳白色尿液,尿乳糜尿试验(+++),左肾造瘘管造影显示左肾周丰富的淋巴管显影.通过逆行插入肾盂输尿管连接部封堵器堵塞左输尿管上段,经左肾造瘘管注入2%硝酸银溶液15 ml,每次留置10 min,共3 次.结果 术后左肾造瘘管引流尿液变清,尿乳糜尿试验(-),随访9 个月未见乳糜尿复发.结论 经皮肾镜取石术并发乳糜尿较罕见,确诊依靠其临床表现、乳糜尿试验及相关影像学检查,低脂饮食、肾盂内硬化剂灌注和肾蒂淋巴管结扎术为其可选的治疗方法.

相似文献/References:

[1]石磊,高振利,姜仁慧,等.经皮肾镜气压弹道联合超声碎石清石的并发症防治[J].中华腔镜泌尿外科杂志(电子版),2007,(02):76.
 SHI Lei,GAO Zhen-li,JIANG Ren-hui,et al.Prevention and treatment of complications of combined pneumatic and ultrasoud lithotripsy during percutaneous nephrolithotomy[J].,2007,(04):76.
[2]朱建国,孙兆林,王元林,等.微创经皮肾镜术治疗孤立肾合并肾结石[J].中华腔镜泌尿外科杂志(电子版),2008,(01):52.
 ZHU Jian-guo,SUN Zhao-lin,WANG Yuan-lin,et al.Treatment of solitary kidney calculi with minimally invasive percutaneous nephrolithotomy[J].,2008,(04):52.
[3]朵永福,龙启,张勇科,等.经皮肾微造瘘气压弹道碎石取石术治疗复杂性肾结石[J].中华腔镜泌尿外科杂志(电子版),2008,(02):121.
 DUO Yong-fu,LONG Qi,ZHANG Yong-ke,et al.Mini-puncture percutaneous nephrostomy lithotripsy for the treatment of complicated nephrolithiasis[J].,2008,(04):121.
[4]温晓飞,陆佳荪,温机灵,等.微造瘘经皮肾镜大功率钬激光治疗肾结石128例报告[J].中华腔镜泌尿外科杂志(电子版),2008,(02):145.
 WEN Xiao-fei,LU Jia-sun,WEN Ji-ling,et al.Mini-percutaneous nephrolithotomy with high-power holmium laser lithotripsy for the treatment of upper ureteral stones(report of 128 cases)[J].,2008,(04):145.
[5]陈彤,刘大乐,刘增钦,等.斜仰卧位经皮肾镜治疗上尿路结石[J].中华腔镜泌尿外科杂志(电子版),2008,(03):21.
 CHEN Tong,LIU Da-le,LIU Zeng-qin,et al.Percutaneous nephrolithotomy in supine position[J].,2008,(04):21.
[6]汪溢,蔡鑫,朱家利.经皮肾穿刺气压弹道碎石治疗肾结石58例[J].中华腔镜泌尿外科杂志(电子版),2008,(03):31.
 WANG Yi,CAI Xin,ZHU Jia-li.Percutaneous ureteroscope lithotripsy with pneumatic power (reports of 58 cases)[J].,2008,(04):31.
[7]刘杰,周兴,谢文琪,等.经皮肾钬激光与气压弹道碎石术治疗肾结石的疗效比较[J].中华腔镜泌尿外科杂志(电子版),2008,(03):48.
 LIU Jie,ZHOU Xing,XIE Wen-qi,et al.Comparison of Percutaneous Nephrolithotomy with Holmium: YAG Laser Lithotripsy and Penumatic Lithotripsy for the treatment of Renal Calculi[J].,2008,(04):48.
[8]杨秀书,罗光恒,刘军,等.局部浸润麻醉超声引导下经皮肾镜取石术[J].中华腔镜泌尿外科杂志(电子版),2008,(04):28.
[9]宋飞,黄伟,郭环宇,等.多层螺旋CT三维成像在经皮肾镜取石术中的应用价值[J].中华腔镜泌尿外科杂志(电子版),2009,(01):43.
 SONG Fei,HUANG Wei,GUO Huan-yu,et al.Clinical evaluation of three dimensional spiral CT reconstruction in percutaneous nephrolithotomy[J].,2009,(04):43.
[10]韩杰,黄群联,程庆水,等.经皮肾镜超声碎石术治疗上尿路结石[J].中华腔镜泌尿外科杂志(电子版),2009,(02):13.
 HAN Jie,HUANG Qun-lian,CHEN Qing-shui,et al.Treatment of upper urinary tract stones by ultrasound guided lithotripsy in percutaneous nephrolithotomy(report of 120 cases)[J].,2009,(04):13.
[11]文博,黄小佳,邱建忠,等.微通道和标准通道PCNL 治疗复杂性肾结石的比较[J].中华腔镜泌尿外科杂志(电子版),2009,(03):200.
 WEN Bo,HUANG Xiao-jia,XIU Jian-zhong,et al.Nephrolithotomy for treatment of complex kidney calculi using standard and mini-percutaneous renal tract[J].,2009,(04):200.
[12]苏清华,湛海伦,罗记文,等.斜卧位经超声引导行微通道经皮肾镜碎石取石术[J].中华腔镜泌尿外科杂志(电子版),2009,(03):210.
 SUN Qing-hua,ZHAN Hai-lun,LUO Ji-wen,et al.Mini-pereutaneous nephrolithotomy under ultrasoud guidance in semi-supine position[J].,2009,(04):210.
[13]岐宏政,沈鹏飞,刘勇,等.经皮肾镜取石术与开放手术治疗肾结石的系统评价[J].中华腔镜泌尿外科杂志(电子版),2009,(05):382.
[14]孟祥军,米其武,王华,等.CT三维重建辅助鹿角形肾结石经皮肾镜取石术中穿刺定位[J].中华腔镜泌尿外科杂志(电子版),2009,(06):473.
 MENG Xiang-jun,MI Qi-wu,WANG Hua,et al.Three-dimensional CT reconstruction for the planning of percutaneous nephrolithotomy in staghorn calculi[J].,2009,(04):473.
[15]门晓炜,黄兴,王锐,等.经皮肾镜超声弹道碎石清石系统一期治疗结石梗阻性脓肾[J].中华腔镜泌尿外科杂志(电子版),2009,(06):516.
 MEN Xiao-wei,HUANG Xing,WANG Rui,et al.Percutaneous nephroscopic pneumatic and ultrasonic lithotripsy in one-phase treatment of renal calculi accompanied with pyonephrosis[J].,2009,(04):516.
[16]王光春,郑军华,许云飞,等.经皮肾镜取石术在高危肾结石患者中的安全性研究[J].中华腔镜泌尿外科杂志(电子版),2010,(05):357.
 WANG Guang-chun,ZHENG Jun-hua,XU Yun-fei,et al.Percutaneous nephrolithotomy performed in the low- and high-risk patients with kidney stones: A retrospective study[J].,2010,(04):357.
[17]司徒杰,王德娟,刘小彭,等.球囊扩张导管在无积水肾建立经皮肾通道的应用[J].中华腔镜泌尿外科杂志(电子版),2010,(06):448.
 SITU Jie,WANG De-juan,LIU Xiao-peng,et al.Dilatation with balloon in the establishment of passages of percutaneous nephrolithotripsy[J].,2010,(04):448.
[18]盛明雄,王德娟,雷华,等.低位负压吸引提高经皮肾镜取石术效率的临床研究[J].中华腔镜泌尿外科杂志(电子版),2011,(05):357.
 SHENG Ming-xiong,WANG De-juan,LEI Hua,et al.Clinical study on low-set vacuum aspiration improved the efficacy of calculus removal by percutaneous nephrolithotomy[J].,2011,(04):357.
[19]杨建华,李虹奕.微创经皮肾镜取石术治疗开放性手术后复发肾结石的效果观察[J].中华腔镜泌尿外科杂志(电子版),2012,(04):257.
 YANG Jianhua,LI Hong-yi.Treatment of recurrent stone after open nephrolithotomy with mini -percutaneous nephrolithotomy[J].,2012,(04):257.
[20]李学来,孟祥军,张畅生,等.斜仰卧位经皮肾镜取石术在高龄高危肾结石患者中的应用[J].中华腔镜泌尿外科杂志(电子版),2012,(04):260.
 LI Xue-lai,MENG Xiang-jun,ZHANG Chang-sheng,et al.Percutaneous nephrolithotomy in oblique supine position for the treatment of senile and high -risk patients with kidney stones[J].,2012,(04):260.

备注/Memo

备注/Memo:
广东省科技计划项目(2011B061300039)
更新日期/Last Update: 1900-01-01