Lawrentschuk Nathan, Russell John M
University of Melbourne, Departments of Surgery and Urology, Austin Hospital, Melbourne, Victoria, Australia.
ANZ J Surg. 2004 Apr;74(4):243-7. doi: 10.1111/j.1445-2197.2004.02947.x.
Ureteric stents have been used in urological practice for over 25 years and in many cases have become almost routine. The purpose of the present review is to highlight the uses, complications and risk management issues associated with their use.
An extensive literature review was conducted and knowledge from past experience was accessed to give a summary of past and current ureteric stent use in urology.
Broadly, there are stone and non-stone indications for stenting. Complications may range from the commonly experienced 'stent syndrome' to the medico-legal dilemma of the forgotten stent. Risk management must be applied to all uses of stenting to minimize complications and achieve best practice.
Although almost routine in many areas of urological practice, the complications and implications for risk management of ureteric stenting cannot be ignored.
输尿管支架已在泌尿外科临床应用超过25年,在许多情况下几乎已成为常规操作。本综述的目的是强调与输尿管支架使用相关的用途、并发症及风险管理问题。
进行了广泛的文献综述,并借鉴以往经验知识,以总结过去及当前输尿管支架在泌尿外科的使用情况。
总体而言,输尿管支架置入有结石性及非结石性适应证。并发症范围从常见的“支架综合征”到遗忘支架的医疗法律困境。必须对输尿管支架置入的所有应用进行风险管理,以尽量减少并发症并实现最佳实践。
尽管输尿管支架置入在泌尿外科的许多领域几乎已成常规操作,但输尿管支架置入的并发症及风险管理问题不容忽视。