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患者,男,42岁。因“间断右侧腰腹部胀痛不适7年余”于2013年7月5日入院,无发热、恶心、呕吐,无尿频、尿痛及肉眼血尿。体检:右肾区叩击痛,双输尿管走行区无深压痛。B超示:右肾结石并右肾中度积水,左肾小结石。尿液分析示:白细胞+,红细胞++,尿培养无菌生长。静脉尿路造影示:右肾结石并右肾积水。患者术前予以抗炎、对症治疗3日后在硬膜外麻醉下行右侧微创经皮肾镜取石术,手术顺利,术中留置双J管和肾造瘘
Patient, male, 42 years old. Due to “intermittent right lower back abdominal pain discomfort more than 7 years ” was admitted on July 5, 2013, no fever, nausea, vomiting, no urinary frequency, dysuria and gross hematuria. Physical examination: Right kidney area percussion pain, ureteral walking area without deep tenderness. B ultrasound shows: the right kidney stones and moderate hydronephrosis, left kidney stones. Urine analysis showed: white blood cells +, red blood cells ++, urine culture sterile growth. Intravenous urography showed: right kidney stones and right hydronephrosis. Patients were preoperative anti-inflammatory, symptomatic treatment after 3 days under epidural anesthesia right minimally invasive percutaneous nephrolithotomy, the operation was successful, intraoperative double J tube and nephrostomy