Scarpa R M, De Lisa A, Porru D, Usai E
Dipartimento di Scienze Chirurgiche e Trapianti d'Organo dell Università degli Studi di Cagliari, Clinica Urologica, Sardaigne, Italia.
Ann Urol (Paris). 1999;33(3):230-6.
This article examines the technical modalities or ureteral catheterization. The authors also discuss unconventional modalities which, if used without prejudice, can sometimes constitute brilliant and economic solutions to complex problems which are often impossible to resolve otherwise. After a summary of the history of ureteral catheterization, the authors present the main indications for temporary ureteral catheterization: radiographic and fluoroscopic examination of the ureter; separate cytological harvesting; separate bacteriological harvesting; confirmation of the side of unilateral haematuria; preliminary temporary dilatation of the ureter to prepare it for ureteroscopy; temporary drainage of the excretory tract after endourological investigation. The authors also present particular situations may be observed temporary catheterization, or even permanent stenting, for example in the case of procedures in children, pregnant women and renal transplant recipients.
本文探讨了输尿管插管的技术方式。作者还讨论了非常规方式，若公正使用，这些方式有时可为复杂问题提供巧妙且经济的解决方案，而这些问题往往无法通过其他方式解决。在总结输尿管插管的历史后，作者介绍了临时输尿管插管的主要适应证：输尿管的放射学和荧光镜检查；单独的细胞学采集；单独的细菌学采集；单侧血尿侧别的确认；输尿管的初步临时扩张以准备输尿管镜检查；腔内泌尿外科检查后排泄道的临时引流。作者还介绍了在特殊情况下可能会观察到临时插管，甚至永久性支架置入，例如在儿童、孕妇和肾移植受者的手术中。
