舌黏膜输尿管重建术后尿路结石的治疗1例报告

Treatment of urinary calculi after lingual mucosal ureteral reconstruction:a case report

舌黏膜输尿管重建术后出现输尿管结石的病例罕见,本文报道1例。患者男性,曾接受机器人辅助腹腔镜舌黏膜右输尿管成形术,术后4个月复查发现右侧重建输尿管段结石。行经尿道输尿管镜钬激光碎石联合套石篮取石术,后复查泌尿系CT示右侧输尿管内无结石残留。随访20个月未见右侧输尿管结石复发及并发症。

Ureteral calculi after lingual mucosal ureteral reconstruction are rare.In this paper,we reported a case of a male patient who had undergone robotic-assisted laparoscopic lingual mucosal right ureteroplasty.Calculi were found in the right reconstructed ureteral segment 4 months after surgery.Then the patient underwent transurethral ureteroscopic holmium laser lithotripsy combined with a stone retrieval basket,and postoperative urological CT showed no residual calculi in the right ureter.No recurrence of right ureteral calculi or complications were observed during 20 months of follow-up.