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一名宫颈癌患者在接受双腔湿结肠造口术并逆行输尿管支架置入术后发生输尿管动脉瘘。

Ureteroarterial fistula following retrograde ureteral stenting in a patient with a double-barreled wet colostomy for cervical cancer.

作者信息

Siorek Marek, Tierney Brent, Fowler Jeffrey, Dowell Joshua D

机构信息

Department of Radiology, Division of Interventional Radiology, The Ohio State University Wexner Medical Center, 395 W 12th Avenue, Columbus, OH 43210, USA.

Department of Obstetrics and Gynecology, Division of Gynecologic Oncology, The Ohio State University Wexner Medical Center, 395 W 12th Avenue, Columbus, OH 43210, USA.

出版信息

Gynecol Oncol Rep. 2015 Jun 23;13:44-6. doi: 10.1016/j.gore.2015.06.007. eCollection 2015 Aug.

DOI:10.1016/j.gore.2015.06.007
PMID:26425720
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC4563588/
Abstract

•Ureteroarterial fistula (UAF) is a rare cause of massive hematuria.•Percutaneous retrograde ureteral stents via DBWC can be done safely in the compliant patient for improved comfort.•Understanding the anatomy, risks, and minimally invasive treatment options for UAF is important for prompt patient care.

摘要

•输尿管动脉瘘（UAF）是导致大量血尿的罕见原因。

•对于顺应性良好的患者，经双弯导管进行经皮逆行输尿管支架置入术可安全实施，以提高舒适度。

•了解输尿管动脉瘘的解剖结构、风险和微创治疗选择对于及时的患者护理很重要。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d37/4563588/e74264e08d81/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d37/4563588/e74264e08d81/gr1.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2d37/4563588/e74264e08d81/gr1.jpg

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Gynecol Oncol Rep. 2015 Jun 23;13:44-6. doi: 10.1016/j.gore.2015.06.007. eCollection 2015 Aug.
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本文引用的文献

1
Long-term results of endovascular stent graft placement of ureteroarterial fistula.血管内支架移植物置入治疗输尿管-动脉瘘的长期结果。
Cardiovasc Intervent Radiol. 2013 Aug;36(4):950-6. doi: 10.1007/s00270-012-0534-6. Epub 2012 Dec 4.
2
Complications after double-barreled wet colostomy compared to separate urinary and fecal diversion during pelvic exenteration: time to change back?盆腔廓清术后双套管式湿造口与单独行尿粪转流术后并发症比较：是否需要改回？
Gynecol Oncol. 2013 Jan;128(1):60-64. doi: 10.1016/j.ygyno.2012.08.004. Epub 2012 Aug 11.
3
Ureteroarterial fistula treatment with open surgery versus endovascular management: long-term outcomes.
输尿管-动脉瘘采用开放手术与血管内治疗的比较：长期结果。
J Urol. 2011 Mar;185(3):945-50. doi: 10.1016/j.juro.2010.10.062. Epub 2011 Jan 19.
4
Scintigraphic evaluation of acute lower gastrointestinal hemorrhage: current status and future directions.放射性核素显像在急性下消化道出血中的应用：现状与未来方向。
J Clin Gastroenterol. 2011 Feb;45(2):92-9. doi: 10.1097/MCG.0b013e3181f39d46.
5
Arterioureteral fistulas: unusual suspects-systematic review of 139 cases.动输尿管瘘：不常见的病因——对139例病例的系统综述
Urology. 2009 Aug;74(2):251-5. doi: 10.1016/j.urology.2008.12.011. Epub 2009 Apr 10.
6
Placement of transileal conduit retrograde nephroureteral stents in patients with ureteral obstruction after cystectomy: technique and outcome.膀胱切除术后输尿管梗阻患者经髂骨通道逆行置入输尿管支架：技术与结果
AJR Am J Roentgenol. 2008 Nov;191(5):1536-9. doi: 10.2214/AJR.08.1003.
7
Double-barreled wet colostomy is a safe option for simultaneous urinary and fecal diversion. Analysis of 56 procedures from a single institution.双腔湿结肠造口术是同时进行尿液和粪便转流的安全选择。对来自单一机构的56例手术进行分析。
J Surg Oncol. 2006 Mar 1;93(3):206-11. doi: 10.1002/jso.20442.
8
Endovascular management of ureteral-iliac artery fistulae with Wallgraft endoprostheses.使用Wallgraft腔内移植物对输尿管-髂动脉瘘进行血管内治疗。
Gynecol Oncol. 2002 Apr;85(1):212-7. doi: 10.1006/gyno.2002.6589.