Kelly J H, McCullough D L, Harrison L H
Section of Urology, Bowman Gray School of Medicine of Wake Forest University, Winston-Salem, North Carolina.
Urology. 1989 Apr;33(4):309-10. doi: 10.1016/0090-4295(89)90272-0.
In a neurosurgical patient with a lumbar ureteral shunt in place for many years ureteral obstruction and hydronephrosis developed. The shunt tubing was removed surgically from the ureter leaving a portion of the shunt in the subarachnoid space without sequelae. Historically, most patients undergoing this type procedure had an ipsilateral nephrectomy performed at the time of shunt placement; however, this patient did not. It is important to be aware of this "antique" procedure as it may cause urologic complications.
在一名多年来一直留置腰段输尿管分流管的神经外科患者中，出现了输尿管梗阻和肾积水。手术将分流管从输尿管中取出，使一部分分流管留在蛛网膜下腔，未出现后遗症。从历史上看，大多数接受这种手术的患者在放置分流管时进行了同侧肾切除术；然而，该患者没有。了解这种“古老”的手术很重要，因为它可能导致泌尿系统并发症。
