检索结果-南通市图书馆

Treatment of urinary lithiasis following kidney transplantation with extracorporeal shock-wave lithotripsy

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Chinese Medical Journal 2011年第9期124卷 1431-1434页

作者： LI Sha-dan WANG Qing-tang CHEN Wei-guo Department of Urology General Hospital of Chengdu Military Command Chengdu Sichuan 610083 China

Background The incidence of urinary lithiasis following kidney transplantation is very low, and decision-supporting data are not available. The aim of this study was to review the diagnosis and treatment of urinary lithiasis following kidney transplantation, which is of realistic significance to reduce urinary lithiasis following kidney transplantation, prolong the survival of renal *** The incidence, diagnosis and treatment of urinary lithiasis in ten patients following kidney transplantation were analyzed retrospectively. Seven out of these patients had stones sized approximately 0.4-1.1 cm, and they were treated with low-voltage, low-frequency extracorporeal shock-wave lithotripsy （ESWL）. Two patients had stones sized ＜0.3 cm and they underwent cystoscopy and ureteroscopy. The ureteral catheter endoscopes were inserted in a retrograde manner to mobilize stones repeatedly. After elimination of obstruction, a ureteral double J stent was *** patient had a pelvic stone （1.2 cm）, which was removed *** The major clinical manifestations were hematuria, oliguria or anuria. Some patients were asymptomatic and they were diagnosed through laboratory tests and imaging examinations, e.g., ultrasonography. After elimination of obstruction, subjective symptoms disappeared in all patients, and the function of renal allografts recovered. A six-month follow-up indicated no remnant stones or lithiasis *** The diagnosis and treatment of renal allograft lithiasis are challenging. After prompt and appropriate treatment, the prognosis was satisfactory, and permanent renal functional impairment did not occur in most patients.

关键词： kidney transplantation lithiasis extracorporeal shock-wave lithotripsy

The lithiasis of Choledoque: Epidemiological Aspects, Clinics and Therapeutiques in the Surgery Department “A” at the University Hospital Point G

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

Surgical Science 2019年第8期10卷 281-286页

作者： O. Sacko S. Diallo L. Soumaré M. Camara S. Koumaré M. Sissoko S. Keita I. Diarra M. Konaté M. Traoré G. Soumaré D. Dakouo M. Coulibaly H. Dicko Y. Dianessi A. Koita Z. Sanogo Department of Surgery “A” University Hospital of Point G Bamako Mali Department of Surgery “B” University Hospital of Point G Bamako Mali Department of Surgery Reference Center of Town 6 Bamako Mali Department of Gynecology-Obstetrics University Hospital of Point G Bamako Mali Department of Intensive Care University Hospital of Point G Bamako Mali

Considered as rare in Africa lithiasis of the main bile duct (MBD) is a potentially serious pathology, diagnosis is facilitated by imaging tests (ultra-sound, CT, MRI cholangiopancreatography). Its surgical management is improved by laparoscopy coupled with interventional endoscopy. However, laparotomy remains the only way in Mali. This was a 14-years retrospective and descriptive study (2010-2014). All patients with BPV lithiasis were included. We studied the field, antecedents, clinical, biological, radiological, therapeutic and outcome aspects. 40 cases of stones in the main bile duct were collected during the study period. The hospital frequency was 2.8 cases per year, the clinical signs dominated by the Charcot triad (pain, fever, jaundice) found in 40 cases (100%). The average age was 60 years, female represented 70% of cases. Ultrasonography was the most requested review in 40 cases (100%). The procedure performed was cholecystectomy associated with choledochotomy with calculation extraction in all patients (100% of cases). One case of biliary fistula and one case of wall abscess were observed. The mortality was 5% and the simple suited in 90% of the cases. The lithiasis of the main bile duct is an infrequent pathology in Mali and potentially serious. This diagnosis is assisted in our context by ultrasound and CT. Laparotomy remains the only route of entry in Mali.

关键词： lithiasis of the CBD Surgery Cholodochotomy

Diverticular Fistula of the Female Urethra on lithiasis at the District Health Center (CSREF) in Communeii, Bamako, Mali

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Surgical Science 2019年第3期10卷 83-88页

作者： Tounkara Idrissa Diarra Abdoulaye Traoré Amadou Coulibaly B. Bakary Kanté Abdoulaye Dembélé Dabéré Ives Thiam Souleymane Ouattara Kassoum Kanté Lassana Konate Madiassa Koné Assitan Ongoiba Oumar Sangaré Modibo Dembélé Bakary Tiètiki Diakité Ibrahim Sidibé Yoro Bah Amadou Coulibaly Yakaria Togo Adégné Diallo Gangaly Chirurgie générale du Centre de santé de référence de la commune II de Bamako Mali Chirurgie générale du Centre Hospitalier Universitaire de Kati Mali Chirurgie générale Centre Hospitalier Universitaire Gabriel TOURE de Bamako Mali Chirurgie générale du Centre Hospitalier Universitaire du POINT G de Bamako Mali Hopital régional de Gao Mali Hopital régional de Tombouctou Mali

The diverticulum of the female urethra or sub-urethral pouch is in the form of a cul-de-sac lined with mucous membrane through the muscular layer of the urethra. Thus, it is a site of stasis, urinary infection, formation of calculus or even malignant tumor. The diverticula of the urethra or sub-urethral pouches in women have a prevalence of 0.5% to 6% depending on the series. We report the case of a 61-year-old patient operated for a diverticulum on fistulized urethra complicated lithiasis. Our patient had five pregnancies and five births when she consulted for dysuria, urinary burns evolving since a year. The urogenital examination revealed a partially stenotic urethral meatus and a 3-cm large fistulized intravaginal peri-urethral mass allowing urine leak. The mass was painful and hard at palpation. We performed transvaginal diverticulectomy. The follow-up was simple and the probe was removed two weeks after the surgery. An atomo-pathological examination of the resected diverticulum concluded an aspect compatible with lithiasis urethritis.

关键词： Diverticulum Urethral Fistula lithiasis Bamako

Minimally invasive treatment of cholecysto-choledocal lithiasis:The point of view of the surgical endoscopist

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastrointestinal Surgery 2013年第6期5卷 161-166页

作者： Giovanni D De Palma Center of Excellence for Technical Innovation in Surgery Department of Clinical Medicine and SurgerySchool of MedicineUniversity of Naples Federico Ⅱ80131 NapoliItaly

The rate of choledocholithiasis in patients with symptomatic cholelithiasis is estimated to be approximately 10%-33%,depending on the patient's *** of Endoscopic Retrograde Cholangiopancreatography and Laparoscopic Surgery and improvement of diagnostic procedures have influenced new approaches to the management of common bile duct stones in association with *** present available minimally-invasive treatments of cholecysto-choledocal lithiasis include:single-stage laparoscopic treatment,perioperative endoscopic treatment and endoscopic treatment *** data evidence that,associated endoscopic-laparoscopic approach necessitates increased number of procedures per patient while single-stage laparoscopic treatment is associated with a shorter hospital ***,current data does not suggest clear superiority of any one approach with regard to success,mortality,morbidity and *** the variety of therapeutic options available for management,a critical appraisal and decision-making is *** retrograde cholangiopancreatography/EST should be adopted on a selective basis,i.e.,in patients with acute obstructive suppurative cholangitis,severe biliary pancreatitis,ampullary stone impaction or severe *** a setting where all facilities are available,decision in the selection of the therapeutic option depends on the patients,the number and size of choledocholithiasis stones,the anatomy of the cystic duct and common bile duct,the surgical history of patients and local expertise.

关键词： Cholecysto-choledocal lithiasis Laparoscopic treatment Endoscopic treatment Minimally invasive therapy Management strategies

Imaging tests for accurate diagnosis of acute biliary pancreatitis

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 2014年第44期20卷 16544-16549页

作者： Valeriu Surlin Adrian S?ftoiu Daniela Dumitrescu 1st Clinic of Surgery University of Medicine and Pharmacy of Craiova Research Center of Gastroenterology and Hepatology University of Medicine and Pharmacy of Craiova Department of Radiology University of Medicine and Pharmacy of Craiova

Gallstones represent the most frequent aetiology of acute pancreatitis in many statistics all over the world, estimated between 40%-60%. Accurate diagnosis of acute biliary pancreatitis(ABP) is of outmost importance because clearance of lithiasis [gallbladder and common bile duct(CBD)] rules out recurrences. Confirmation of biliary lithiasis is done by imaging. The sensitivity of the ultrasonography(US) in the detection of gallstones is over 95% in uncomplicated cases, but in ABP, sensitivity for gallstone detection is lower, being less than 80% due to the ileus and bowel distension. Sensitivity of transabdominal ultrasonography(TUS) for choledocolithiasis varies between 50%-80%, but the specificity is high, reaching 95%. Diameter of the bile duct may be orientative for diagnosis. Endoscopic ultrasonography(EUS) seems to be a more effectivetool to diagnose ABP rather than endoscopic retrograde cholangiopancreatography(ERCP),which should be performed only for therapeutic *** the sensitivity and specificity of computerized tomography are lower as compared to state-of-the-art magnetic resonance cholangiopancreatography(MRCP)or EUS,especially for small stones and small diameter of CBD,the later techniques are nowadays preferred for the evaluation of ABP *** has the highest accuracy for the diagnosis of choledocholithiasis and is used as a reference standard in many studies,especially after sphincterotomy and balloon extraction of CBD *** ultrasonography is a useful tool for the intraoperative diagnosis of *** exploration of the CBD in cases of patients scheduled for cholecystectomy after an attack of ABP was not proven useful.A significant rate of the so-called idiopathic pancreatitis is actually caused by microlithiasis and/or biliary *** conclusion,the general algorithm for CBD stone detection starts with anamnesis,serum biochemistry and then TUS,followed by EUS or *** the end,bile duct microscopic an

关键词： Biliary Pancreatitis lithiasis Endoscopic ultrasonography Magnetic resonance cholangiopancreatography Endoscopic retrograde cholangiopancreatography

Impact of the adherence to medical treatment on the main urinary metabolic disorders in patients with kidney stones

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Asian Journal of Urology 2021年第3期8卷 275-279页

作者： Braulio Omar Manzo Jose David Cabrera Esteban Emiliani Hector Manuel Sanchez Brian Howard Eisner Jose Ernesto Torres Urology Department Hospital Regional de Alta Especialidad del BajioBlvd.Milenio#130Col.San Carlos la RonchaLeonGuanajuatoMexico Urology Department Fundacion PuigvertUniversidad Autonoma de BarcelonaBarcelonaSpain Urology Department Massachusetts General HospitalHarvard Medical SchoolBostonUSA

Objective:To assess the effect of the adherence to medical treatment on urinary parameters in the 24-h metabolic study of patients with kidney ***:A retrospective,longitudinal,descriptive,and observational study was carried out by reviewing the hospital electronic medical record from 2014 to *** adherence to drug treatment was measured 6 months after its initiation,and the numerical values of the metabolic studies were *** tests were performed to compare the difference before and after ***:Ninety patients were evaluated,with 73.3% of *** 180-day overall adherence rate was 61.2% in patients treated with a single drug and 85.4% in patients treated with multiple *** is a statistically significant increase in citrate levels in patients with good adherence in comparison with non-adherent patients(p=0.031 vs.p=0.528).Conclusions:Medical treatment and dietary measures in patients with kidney stones have an initial impact at 6 months on the values of the main urinary metabolic alterations that predispose to calculi formation;the most significant is seen in those patients with adherence to medical treatment for hypocitraturia.

关键词： Kidney stones Renal stones Metabolic disorders Medical treatment Citrate Oxalate lithiasis

Chemical cholecystectomy

维普期刊数据库

同方期刊数据库评论

在线全文

学校读者我要写书评

暂无评论

World Journal of Gastroenterology 1998年第S1期4卷 41-43页

ＩＮＴＲＯＤＵＣＴＩＯＮＣｈｏｌｅｌｉｔｈｉａｓｉｓｉｓａｃｏｍｍｏｎｌｙｅｎｃｏｕｎｔｅｒｅｄｄｉｓｅａｓｅｉｎＣｈｉｎａ．Ｉｔｗａｓｒｅｐｏｒｔｅｄｔｈａｔｔｈｅｉｎｃｉｄｅｎｃｅｒａｔｅｉｓ７％ｂｙａｕｔｏｐｓ... 详细信息

ＩＮＴＲＯＤＵＣＴＩＯＮＣｈｏｌｅｌｉｔｈｉａｓｉｓｉｓａｃｏｍｍｏｎｌｙｅｎｃｏｕｎｔｅｒｅｄｄｉｓｅａｓｅｉｎＣｈｉｎａ．Ｉｔｗａｓｒｅｐｏｒｔｅｄｔｈａｔｔｈｅｉｎｃｉｄｅｎｃｅｒａｔｅｉｓ７％ｂｙａｕｔｏｐｓｙ．Ｒｅｃｅｎｔｉｎｖｅｓｔｉｇａ...

关键词： cholelithiasis/therapy chole lithiasis /surgery chemical chemical cholecysto stomy cholecystostomy lithotomy

Urinary Lithiases: Epidemiological, Clinical and Therapeutic Aspects of 164 Cases at Sheikh Zayed Hospital in Nouakchott—Mauritania

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Urology 2020年第7期10卷 217-224页

作者： Mouhamedou Diagana Yahya Tfeil Mohamed Mahmoud Boya Mohamed Essalem Béchir Faculty of Medicine Sheikh Zayed Hospital Al Assriya University Nouakchott Mauritania

Urinary lithiases occupy an important position with respect to urological activities in our department. In our Sahel region, lithiasic pathology represents 40% in urology in Senegal [1]. In Mauritania, we did not find a study evaluating the prevalence of this pathology. The frequency and gravity are variable. The objective of the study was to report the clinical profile and the results of management of urinary lithiasis in our environment. Materials and Methods: We conducted a retrospective, descriptive study spanning over two years (April 2015 to March 2017) in the urology department of Sheikh Zayed Hospital in Nouakchott. All patients operated for urinary lithiasis during this period were included in the study. The operative techniques used were semi rigid ureteroscopy, extra corporeal lithotrity, open surgery. Our center did not have flexible ureteroscopy and percutaneous nephrolithotomy. The indications were lithotrity for calculations lower than 20 mm of low density. Biger than 20 mm were by open surgery. Semi rigid ureteroscopy for distal ureteral calculi. Medical treatment or monitoring for non-obstructive calculi is less than 7 mm. Urine drainage by jj probe or nephrostomy are performed. We excluded all patients with lithiasis for the medical treatment. The result was good when absence of lithiasis residues was less than 7 mm and removal of the obstruction. Results: A total of 164 patients were found. The average age was 41 years, and F/M ratio was 1/10. Considering geographical origin, 82% of patients came from rural areas. The presenting complaint was mainly Lower Urinary Tract Symptoms (56%) and Renal Colicky Pain (31%). The bladder and kidneys were the most common (respective 45% and 35%) sites of stone location. Bilateral stones were 18%. Staghorn stones constituted 6% of the cases. Non steroidal anti-inflammatory treatment was administered in 82% of cases, while antibiotic therapy was administered in 32% of cases. Comp

关键词： lithiasis Urinary

Left Pyelic Bifidity and Ectopic Ureteral Superolateral Intravesical Homolateral Ectopic Junction Revealed by a Urinary Calculus Apropos of a Case at the Pasteur Clinic

在线全文

维普期刊数据库

学校读者我要写书评

暂无评论

Open Journal of Medical Imaging 2022年第3期12卷 123-130页

作者： Abdoulaye Kone Oucoumba Diarra Mamoudou Camara Youssouf Kone Abba Ata Omar Moussa Traore Ibrahima Coulibaly Moussa Konate Kassim Sidibe Toumin Camara Youssouf Diawara Cheick Oumar Toure Abdoulaye Mody Camara Salia Coulibaly Mahamadou Diallo Adama Diaman Keita Aboubacar S. Ndiaye Siaka Sidibe Faculty of Medicine and Odontostomatology Bamako Mali Medical Imaging Department of the University Hospital of Point G Bamako Mali Radiology Department of CSREF Commune III Bamako Mali Medical Imaging Service Mother Child Hospital Luxembourg Bamako Mali FSTS Gamal Abdel NasserConakry Guinea Radiology Department of the Jacques Boutard Hospital Saint-Yrieix-la-Perche France France Medical Imaging Department of the Pasteur Polyclinic Bamko Mali DCSSA Bamako Mali General Medicine Department of the Siguiri Prefectural Hospital Siguiri Guinea Medical Imaging Service Health Center of Ref Commune IV Bamako Mali Medical Imaging Department of Mali Hospital Bamako Mali Medical Imaging Department of KATI Hospital Bamako Mali Medical Imaging Department of GABRIEL TOURE Hospital Bamako Mali

Introduction: Malformations of the excretory tract are abnormalities due to a disorder of embryogenesis. According to some authors, their frequency varies from 0.30 to 5.25 per 1000. The aim of this study was to highlight the CT uroscan aspect of pyelic bifidity with intravesical ureteral ectopic junction revealed by a urinary calculus and to explain the interest of CT uroscan in the management of urinary pathologies. Result: We report the observation of a 37-year-old overweight patient with a body mass index equal to 28, a history of surgery and extracorporeal litho-thipsis dating back 10 years. He was referred to the Imaging Department in the context of renal colic. The uroscanner made it possible to highlight a left pyelic bifidity associated with an ectopic abutment of the left ureter on the superolateral wall of the bladder, a calculation in the left ectopic ureteral meatus measured at 4 mm in axial diameter. He noted upstream of these lesions, a uretero-pyelo-calicielle dilation on double homolateral pyelon. On late cuts, a slight delay in left renal excretion was noted. The right kidney was also the site of a hyperdense calculation of 1257 HU density and measured 4 mm in transverse diameter with a non-obstructive appearance. Due to a lack of means, our patient was subjected to oral medication, hygiene and dietary rules and rigorous monitoring. Conclusion: At the end of this study, the uroscanner is presented as the reference examination to better explore urinary pathologies. At the same time, it makes it possible to carry out a study of the organs surrounding the urinary tract. Always think about the association of several urinary pathologies each time you see a patient for renal colic.

关键词： Bifidity Pyelic Uroscanner Ectopia lithiasis