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孤立功能肾单位中遗漏的骨折“被困 JJ 支架”——处理的影响

Missed fractured 'trapped JJ stent' in a solitary functioning renal unit--implications of management.

作者信息

Singh Iqbal, Singh Nain

机构信息

Department of Surgery, University College of Medical Sciences (University of Delhi) & Guru Tegh Bahadur Hospital, Delhi-95, India.

出版信息

Int Urol Nephrol. 2003;35(2):247-9. doi: 10.1023/b:urol.0000020289.84991.b5.

DOI:10.1023/b:urol.0000020289.84991.b5
PMID:15072503
Abstract

The implications of management of stuck JJ stents in solitary functioning renal units has not been adequately addressed to in English literature. We have presented the management of such a case of 'overlooked trapped JJ stent' in a solitary functioning renal unit. Retrograde removal was safely accomplished by using the double guide wire technique. A solitary functioning obstructed renal unit should be attended to promptly in the least morbid and minimally invasive manner (double guide wire and single impulse mode lithoclast). The current literature regarding their management and their implications has been reviewed and discussed.

摘要

孤立功能肾单位中 JJ 支架嵌顿的处理在英文文献中尚未得到充分探讨。我们介绍了一例孤立功能肾单位中“被忽视的嵌顿 JJ 支架”的处理情况。通过双导丝技术成功安全地逆行取出支架。对于孤立功能的梗阻性肾单位,应以创伤最小、侵入性最低的方式(双导丝和单脉冲模式碎石器)及时处理。本文对当前有关其处理及影响的文献进行了综述和讨论。

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2
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本文引用的文献

1
Severely encrusted polyurethane ureteral stents: management and analysis of potential risk factors.严重结痂的聚氨酯输尿管支架:潜在危险因素的管理与分析
Urology. 2001 Oct;58(4):526-31. doi: 10.1016/s0090-4295(01)01317-6.
2
Physician responsibility for removal of implants: the case for a computerized program for tracking overdue double-J stents.医生移除植入物的责任:关于追踪过期双J支架的计算机程序的案例
Tech Urol. 2000 Sep;6(3):189-92.
3
Late complications of ureteral stents.输尿管支架的晚期并发症。
Eur Urol. 2000 Jul;38(1):41-4. doi: 10.1159/000020250.
4
The indwelling ureteric stent: a 'friendly' procedure with unfriendly high morbidity.留置输尿管支架:一种“友好”的操作,却伴有不友好的高发病率。
BJU Int. 2000 Mar;85(4):408-11. doi: 10.1046/j.1464-410x.1998.00543.x-i1.
5
Stenturia: An unusual manifestation of spontaneous ureteral stent fragmentation.支架尿:自发性输尿管支架断裂的一种罕见表现。
Urol Int. 1999;62(2):114-6. doi: 10.1159/000030370.
6
A computerized ureteric stent retrieval system.一种计算机化的输尿管支架取出系统。
Br J Urol. 1996 Jan;77(1):147-8. doi: 10.1046/j.1464-410x.1996.87626.x.
7
Fracture of polyurethane double pigtail stents: an in vivo retrospective and prospective fluoroscopic study.
Br J Urol. 1995 Jul;76(1):108-14. doi: 10.1111/j.1464-410x.1995.tb07842.x.
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Ureteral and renal vein perforation with placement into the renal vein as a complication of the pigtail ureteral stent.
J Urol. 1980 Sep;124(3):424-6. doi: 10.1016/s0022-5347(17)55480-4.
9
Indwelling ureteral stents: percutaneous management of complications.留置输尿管支架:并发症的经皮处理
Radiology. 1986 Jan;158(1):219-22. doi: 10.1148/radiology.158.1.3510020.