[A Case of Long-Term Treatment with Extracorporeal Shock Wave Lithotripsy and Follow-Up for Cystine Calculi by Cystinuria].
[A Case of Long-Term Treatment with Extracorporeal Shock Wave Lithotripsy and Follow-Up for Cystine Calculi by Cystinuria].
复制标题
体外冲击波碎石长期治疗胱氨酸结石及胱氨酸尿随访一例
DOI：
10.14989/actauroljap_65_6_209
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发表时间：
2019
期刊：
影响因子：
--
通讯作者：
H. Yamada
中科院分区：
文献类型：
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作者：
Toshifumi Takahashi;T. Kanno;T. Okada;Y. Higashi;H. Yamada
对于胱氨酸尿症患者的治疗，已采用强制水合和药物治疗来防止结石复发和生长，但并非少数胱氨酸结石需要手术干预。然而，胱氨酸结石手术治疗的长期随访资料缺乏。在此，我们报告一例胱氨酸结石膀胱尿症，并在长期随访期间多次体外冲击波碎石（ESWL）。一名13岁女子于1993年1月因右侧疼痛到当地诊所就诊，腹部超声检查显示右侧肾结石。患者入院接受体外冲击波治疗。对石头成分的分析表明，石头是由胱氨酸组成的。在接下来的25年里，她接受了157次ESWL和2次经尿道输尿管碎石术（TUL）。目前的检查显示，虽然她的右肾下极有轻微萎缩，但她的肾功能稳定，肾结石仍然很小。我们的病例提示ESWL早期干预可以防止结石生长和肾功能恶化。
For the management of patients with cystinuria, forced hydration and medication have been used to prevent stone recurrence and growth, but not a few cystine stones require surgical intervention. However, the long-term follow-up data about surgical intervention for cystine stones is lacking. Here, we report a case of cystine calculi of cystinuria with many sessions of extracorporeal shock wave lithotripsy (ESWL) during the long-term follow-up period. A 13-year-old woman went to a local clinic with right flank pain in January 1993, and abdominal ultrasonography revealed right kidney stones. She was admitted to our hospital for treatment using ESWL. Analysis of the stone components revealed the stone to be composed of cystine. During the next 25 years, she received 157 sessions of ESWL and 2 sessions of transurethral ureterolithotripsy (TUL). Current examination revealed that although the lower pole of her right kidney is slightly atrophic, her renal function is stable and kidney stones remain small. Our case suggests that early intervention by ESWL could prevent stone growth and the deterioration in renal function.