RESUMEN
This paper analyzed the clinical data, diagnosis and treatment of 4 asymptomatic patients with ureteral calculi without hydrops in our hospital from October 2018 to January 2019, and comprehensively discussed the previous literature. The 4 patients in this group had no obvious clinical symptoms, no positive stones were found in the B-ultrasound of the urinary system, and no hydroureter and hydroureter of the affected side was found. Urinary CT scan confirmed ureteral stones. They were all located in the lower ureter, and the stones obstructed the lumen. The stones were round and smooth, and there was no obvious hyperplasia and edema in the surrounding mucosa. The lithotripsy was completed in the first-stage operation, and the DJ catheter was left behind for one month after the operation. Based on the clinical diagnosis and treatment process of the 4 cases of asymptomatic calculi in this group and the analysis of previous studies, these patients were mostly detected by imaging examinations or other systematic imaging examinations during the regular review of urinary calculi. Ureteral stones with obstruction did not necessarily have stone-related symptoms. The onset of renal colic involved an increase in intraluminal pressure, related stimulation of nerve endings, smooth muscle spasms caused by stretching of the ureteral wall, and systemic changes in cytokines and related hormones. Cascade reactions, etc., were associated with the movement of stones down. Ureteral stones without hydrops were mostly located in the lower ureter, which had a certain buffering effect on obstructive pressure. Asymptomatic ureteral calculi could also induce irreversible damage to renal function, and the proportion of damage increased with the diameter of the stone. Patients with a history of urinary calculi, especially those with asymptomatic stones for the first time, should be paid attention to during clinical follow-up. At present, there are few research reports on asymptomatic and non-accumulating ureteral calculi. We analyze the clinical diagnosis and treatment process and characteristics of this group of patients combined with previous literature to provide a reference for the diagnosis and treatment of such patients.
Asunto(s)
Humanos , Cálculos Ureterales/terapia , Cálculos Urinarios/terapia , Uréter , Litotricia/métodos , Edema/terapia , Cálculos Renales/terapiaRESUMEN
A healthy 8 year old boy was referred to our hospital because of cardiomegaly on the chest X ray. No cardiac murmur was detected on chest examination and normal sinus rhythm was checked by electrocardiogram. The 2-D echocardiogram showed a huge dilated right atrium and a normal tricuspid valve and right ventricle. The findings of cardiac angiogram and MRI was compatible with the isolated giant right atrial aneurysm. For the prevention of atrial arrhythmia and thromboembolism, he underwent successful surgical reduction of the right atrium and cryoablation and the follow-up X ray showed no cardiomegaly.
Asunto(s)
Niño , Humanos , Masculino , Aneurisma , Arritmias Cardíacas , Cardiomegalia , Criocirugía , Electrocardiografía , Estudios de Seguimiento , Atrios Cardíacos , Soplos Cardíacos , Ventrículos Cardíacos , Imagen por Resonancia Magnética , Tórax , Tromboembolia , Válvula TricúspideRESUMEN
0.05 ).The detection rate of IRC by B-ultrasound accounted for 98.2%(108/110).The rate of surgical excision in IRC was 92.2%(107/116).Stage Ⅰ to Ⅱ lesions were found in 69.0% of the patients with IRC and in 49.3% with CRC.Stage Ⅲ to Ⅳ lesions were found in 31.0% of the patients with IRC and in 50.7% with CRC.Patients were followed up postoperatively for a mean of (45?40) months.The 3- and 5-year cancer specific survival rates were significantly higher in IRC than those in CRC (86.5% and 81.3% vs 70.8 % and 64.2%, P