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特发性肾盂黏膜下出血1例报告并文献复习

A case report and literature review of Antopol Goldman lesion

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目的 通过总结特发性肾盂黏膜下出血(AGL)的诊治过程,提高临床对该疾病的认识.方法 回顾性分析首都医科大学附属北京朝阳医院收治的1例AGL病例的临床资料及诊治过程,并通过查找相关文献,总结AGL在临床中的诊治及鉴别要点.结果 患者临床表现为全程无痛肉眼血尿和右侧腰痛,影像学检查提示右肾肿胀,右侧肾盏、肾盂及输尿管下段考虑积血,膀胱内血块,左肾多发小结石.经过多学科会诊、严密的影像学检查及随访、介入检查和输尿管软镜检查排除了血液系统疾病、肾内科血尿、动静脉瘘及集合系统的肿瘤.经保守治疗,逐渐康复,术后随访1年,未再次出现血尿及腰痛.结论 AGL没有明确的诊断标准,临床诊断时要结合影像学、介入和输尿管软镜等多种检查方法,以排除其他疾病,通常保守治疗即可治愈.
Objective To summarize the diagnosis and treatment of Antopol Goldman lesion(AGL)in clinical practice.Methods Clinical data and diagnosis and treatment process of one AGL case treated in our hospital were retrospectively analyzed,and relevant literature was reviewed.Results The patient presented with painless gross hematuria and right-sided lower back pain.Imaging examination suggested swelling of the right kidney,blood accumulation in the right calyx,renal pelvis and lower ureter,blood clot in the bladder,and multiple small stones in the left kidney.After multidisciplinary consultation,close imaging follow-up,interventional and flexible ureterdscope examination,tumors of hematological diseases,renal hematuria,arteriovenous fistula and collection system were excluded.After conservative treatment,the patient gradually recovered.During the follow-up of 1 year.no hematuria or low back pain recurred.Conclusion There is no clear diagnostic standard for AGL.Diagnosis relies on imaging,interventional methods and ureteroscopy.It is necessary to exclude other diseases and adopt conservative treatment.

Antopol Goldman lesionconservative treatmentself-limited disease

善辉、张军晖、康宁、蒋宇光、陈宁、蒋一航、张鑫、曾嵩、赵国江

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首都医科大学附属北京朝阳医院泌尿外科,北京 100043

首都医科大学附属北京朝阳医院影像医学科,北京 100043

特发性肾盂黏膜下出血 保守治疗 自限性疾病

2024

现代泌尿外科杂志
西安交通大学

现代泌尿外科杂志

CSTPCD
影响因子:1.106
ISSN:1009-8291
年,卷(期):2024.29(12)