研究目的
To report and discuss the unusual complication of multiple renal ruptures after flexible ureteroscopic lithotripsy with holmium laser, its possible causes, and therapeutic approaches.
研究成果
Multiple renal ruptures are an unusual complication after FURL with holmium laser. Immediate diagnosis and treatment, such as angiographic embolization, are crucial for patient recovery. The presence of UTI and diabetes mellitus may be contributing factors.
研究不足
The study is limited by being a single case report, which may not be representative of all cases. The exact cause of multiple renal ruptures remains unclear.
1：Experimental Design and Method Selection:
A case report of a 55-year-old female patient who underwent FURL with holmium laser for ureteral and renal calculi.
2：Sample Selection and Data Sources:
The patient's medical history, pre-operative tests, and post-operative outcomes.
3：List of Experimental Equipment and Materials:
Flexible ureteroscopy (Olympus P-5TM), Sensor guidewire (Boston Scientific), F12/14 ureteral access sheath (Cook Medical), 200-micron laser fiber,
4：2 Fr NGage nitinol basket (COOK MEDICAL), 6F × 26-cm Polaris Loop ureteric stent (Boston Scientific). Experimental Procedures and Operational Workflow:
The stone was fragmented with a holmium laser and extracted with a nitinol basket. A ureteric stent was inserted post-operation.
5：Data Analysis Methods:
Clinical observation and imaging studies post-operation to diagnose multiple renal ruptures.
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