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双J导管顺行置入治疗恶性输尿管梗阻：某大学医院改良技术治疗结果的回顾性分析

Antegrade insertion of a double J catheter in the treatment of malignant ureteral obstruction: a retrospective analysis of the results obtained with a modified technique at a university hospital.

作者信息

Santos Rômulo Florêncio Tristão, Tibana Tiago Kojun, Marchiori Edson, Nunes Thiago Franchi

机构信息

Universidade Federal de Mato Grosso do Sul (UFMS), Campo Grande, MS, Brazil.

Universidade Federal do Rio de Janeiro (UFRJ), Rio de Janeiro, RJ, Brazil.

出版信息

Radiol Bras. 2020 May-Jun;53(3):155-160. doi: 10.1590/0100-3984.2019.0090.

DOI:10.1590/0100-3984.2019.0090
PMID:32587422
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7302903/
Abstract

OBJECTIVE

To analyze the results obtained with a modified antegrade double J catheter insertion (JJ stenting) technique in patients with urinary tract obstruction due to malignancy.

MATERIALS AND METHODS

This was a retrospective analysis of data collected from patients undergoing antegrade JJ stenting for malignant ureteral obstruction in the interventional radiology department of our institution between March 1, 2017 and May 31, 2019.

RESULTS

Antegrade JJ stenting was performed in 32 patients (20 women and 12 men). The mean age was 66.2 years among the females and 61.5 years among the males. A total of 53 antegrade JJ stenting procedures were performed. The procedure was successful in 50 cases and failed in 3 (due to migration of the double J catheter in 2 and due to technical failure in 1). Complications occurred in 3 patients (low back pain, in 1, subcapsular hematoma, in 1, and pyelonephritis, in 1). The procedure time ranged from 14 min to 55 min.

CONCLUSION

In patients with ureteral obstruction due to malignancy, antegrade JJ stenting is safe and effective. The technique selected in our study is easily reproduced and can be performed by a trained professional.

摘要

目的

分析改良顺行双J导管置入术（双J管支架置入术）用于恶性肿瘤所致尿路梗阻患者的效果。

材料与方法

这是一项回顾性分析，收集了2017年3月1日至2019年5月31日期间在我院介入放射科接受顺行双J管支架置入术治疗恶性输尿管梗阻患者的数据。

结果

32例患者（20例女性，12例男性）接受了顺行双J管支架置入术。女性的平均年龄为66.2岁，男性为61.5岁。共进行了53次顺行双J管支架置入术。手术成功50例，失败3例（2例因双J导管移位，1例因技术失败）。3例患者出现并发症（1例腰痛，1例包膜下血肿，1例肾盂肾炎）。手术时间为14分钟至55分钟。

结论

对于恶性肿瘤所致输尿管梗阻患者，顺行双J管支架置入术安全有效。我们研究中选择的技术易于重复，经过培训的专业人员即可操作。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f70c/7302903/bd97e6afaba5/rb-53-03-0155-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f70c/7302903/158a77a78cb3/rb-53-03-0155-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f70c/7302903/19183d534660/rb-53-03-0155-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f70c/7302903/a6560de39051/rb-53-03-0155-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f70c/7302903/bd97e6afaba5/rb-53-03-0155-g04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f70c/7302903/158a77a78cb3/rb-53-03-0155-g01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f70c/7302903/19183d534660/rb-53-03-0155-g02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f70c/7302903/a6560de39051/rb-53-03-0155-g03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/f70c/7302903/bd97e6afaba5/rb-53-03-0155-g04.jpg

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2
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Curr Urol. 2017 Jul;10(2):87-91. doi: 10.1159/000447157. Epub 2017 May 30.
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Use of percutaneous nephrostomy and ureteral stenting in management of ureteral obstruction.经皮肾造瘘术和输尿管支架置入术在输尿管梗阻治疗中的应用。
经皮治疗胆道支架功能障碍：图文综述
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