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输尿管双J管并发症的危险因素分析与处理

Risk factor analysis and management of ureteral double-j stent complications.

作者信息

Ahallal Youness, Khallouk Abdelhak, El Fassi Mohammed Jamal, Farih Moulay Hassan

机构信息

Department of Urology, CHU Hassan II Fez, Morocco.

出版信息

Rev Urol. 2010 Spring;12(2-3):e147-51.

PMID:20811552
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC2931292/
Abstract

Double-J ureteral stents are commonly used to manage urinary obstructions. Pain, bladder irritative symptoms, and fever are usually signs of early complications related to double-J stents; late complications are more troublesome. We review 4 cases that highlight a variety of late complications with double-J stents (encrustation, migration, and fragmentation). Following a review of the literature, guidelines are established for monitoring potential risk factors as well as management strategies for prevention of possible complications when using double-J stents.

摘要

双J型输尿管支架常用于处理尿路梗阻。疼痛、膀胱刺激症状和发热通常是与双J型支架相关的早期并发症的迹象;晚期并发症则更棘手。我们回顾了4例突出显示双J型支架各种晚期并发症(结痂、移位和断裂)的病例。在回顾文献之后,制定了监测潜在风险因素的指南以及使用双J型支架时预防可能并发症的管理策略。

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本文引用的文献

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Multimodal stone therapy for two forgotten and encrusted ureteral stents: a case report.针对两根被遗忘且结壳的输尿管支架的多模式结石治疗:一例报告
Cases J. 2009 Jan 30;2(1):106. doi: 10.1186/1757-1626-2-106.
2
Forgotten, encrusted ureteral stents: a challenging problem with an endourologic solution.被遗忘的、结痂的输尿管支架:一个具有腔内泌尿外科解决方案的挑战性问题。
J Endourol. 2006 Dec;20(12):1045-9. doi: 10.1089/end.2006.20.1045.
3
Spontaneous ureteral stent fragmentation: a case report and review of the literature.自发性输尿管支架断裂:一例病例报告及文献综述
Kaohsiung J Med Sci. 2006 Jul;22(7):363-6. doi: 10.1016/S1607-551X(09)70324-9.
4
Forgotten ureteral stents causing renal failure: multimodal endourologic treatment.被遗忘的输尿管支架导致肾衰竭:多模式腔内泌尿外科治疗
J Endourol. 2006 Jun;20(6):423-8. doi: 10.1089/end.2006.20.423.
5
A new technique for treating forgotten indwelling ureteral stents: silk loop assisted ureterorenoscopic lithotripsy.一种治疗遗忘留置输尿管支架的新技术:丝线环辅助输尿管镜碎石术。
J Urol. 2004 Feb;171(2 Pt 1):719-21. doi: 10.1097/01.ju.0000106520.15509.d9.
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Tips and tricks for the management of retained ureteral stents.处理留置输尿管支架的技巧与窍门
J Endourol. 2002 Dec;16(10):733-41. doi: 10.1089/08927790260472881.
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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.
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J Urol. 2001 Sep;166(3):890-3.
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Current management of severely encrusted ureteral stents with a large associated stone burden.当前对伴有大量结石负荷的严重结痂输尿管支架的处理。
J Urol. 2000 Sep;164(3 Pt 1):648-50. doi: 10.1097/00005392-200009010-00007.
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Urol Int. 1999;62(2):114-6. doi: 10.1159/000030370.