【摘 要】
：
目的:报道一例头孢曲松药物结石导致肾后性梗阻,尿肾周外渗病例的诊断治疗经验,结合之前我们诊断治疗经验,探讨头孢曲松药物结石导致急性肾后性梗阻的病情演变过程以及诊断和治疗方案.方法:患者,女,44岁,在使用头孢曲松抗感染治疗两天后出现双侧腰痛,进行性加重,无尿,B超提示双肾结石,CT提示双肾体积增大,双肾轻度积水,双侧输尿管下段小结石形成条索状石阶,两小对后延迟CT扫描提示双肾体积进一步肿大,双肾周
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目的:报道一例头孢曲松药物结石导致肾后性梗阻,尿肾周外渗病例的诊断治疗经验,结合之前我们诊断治疗经验,探讨头孢曲松药物结石导致急性肾后性梗阻的病情演变过程以及诊断和治疗方案.方法:患者,女,44岁,在使用头孢曲松抗感染治疗两天后出现双侧腰痛,进行性加重,无尿,B超提示双肾结石,CT提示双肾体积增大,双肾轻度积水,双侧输尿管下段小结石形成条索状石阶,两小对后延迟CT扫描提示双肾体积进一步肿大,双肾周围造影剂外溢,膀胱空虚,无尿.查肾功能提示肌酐轻度升高,急诊行输尿管镜下碎石术,术中输尿管镜下见双侧输尿管开口被多发小的白色样结石堵塞,夹出嵌顿在输尿管开口的结石后,输尿管镜进镜,双侧输尿管中也可见多发性白色小结石,部分聚集成团,质地松软,镜下水流可以冲散,至肾盂后观察见肾盂乳头上附着有白色小结石,放置双侧输尿管导管后退镜,留置尿管.
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