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回肠膀胱患者输尿管支架管内移的一种技术

A Technique for the Internalization of Nephroureteral Stents in Patients With Ileal Conduits.

作者信息

O'Dwyer Marliza, Sheahan Kevin, Kelly Caroline E, McEniff Niall, Ryan John Mark

机构信息

Department of Interventional Radiology, St James's Hospital, Dublin, IRL.

Department of Urology, Beaumont Hospital, Dublin, IRL.

出版信息

Cureus. 2024 Dec 5;16(12):e75131. doi: 10.7759/cureus.75131. eCollection 2024 Dec.

DOI:10.7759/cureus.75131
PMID:39759745
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC11699519/
Abstract

We present a method of internalization of nephroureteral stents to internalized ureteral stents in a patient with an ileac conduit urostomy with radiation-induced ureteral strictures, and recurrent urinary tract infections (UTIs). This technique is applicable to patients requiring internalization of nephroureteral stents in the setting of an ileal conduit, emphasizing patient consent, preparation, position, imaging guidance, and antibiotic prophylaxis. The successful application of this technique offers a practical solution for managing recurrent UTIs in patients with similar medical histories, providing both clinical and procedural insights.

摘要

我们介绍了一种在一名患有回肠代膀胱术、放射性输尿管狭窄和复发性尿路感染（UTI）的患者中，将肾输尿管支架内置于输尿管支架的方法。该技术适用于在回肠代膀胱情况下需要将肾输尿管支架内置于输尿管的患者，强调患者的知情同意、准备工作、体位、影像引导和抗生素预防。这项技术的成功应用为管理具有类似病史患者的复发性尿路感染提供了一种实用的解决方案，同时提供了临床和操作方面的见解。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0102/11699519/f93117e88d10/cureus-0016-00000075131-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0102/11699519/d41a3dfcd956/cureus-0016-00000075131-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0102/11699519/571a5a868aa2/cureus-0016-00000075131-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0102/11699519/144c65172f3e/cureus-0016-00000075131-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0102/11699519/d510bf8a375f/cureus-0016-00000075131-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0102/11699519/315d096bae44/cureus-0016-00000075131-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0102/11699519/0937cd417f02/cureus-0016-00000075131-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0102/11699519/4c63c599f3d0/cureus-0016-00000075131-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0102/11699519/f93117e88d10/cureus-0016-00000075131-i08.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0102/11699519/d41a3dfcd956/cureus-0016-00000075131-i01.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0102/11699519/571a5a868aa2/cureus-0016-00000075131-i02.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0102/11699519/144c65172f3e/cureus-0016-00000075131-i03.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0102/11699519/d510bf8a375f/cureus-0016-00000075131-i04.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0102/11699519/315d096bae44/cureus-0016-00000075131-i05.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0102/11699519/0937cd417f02/cureus-0016-00000075131-i06.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0102/11699519/4c63c599f3d0/cureus-0016-00000075131-i07.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/0102/11699519/f93117e88d10/cureus-0016-00000075131-i08.jpg

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本文引用的文献

1
Comparative study between the use of double J ureteric stents vs bander ureteric stents during robotic-assisted radical cystectomy with intra corporeal ileal conduit urinary diversion.机器人辅助根治性膀胱切除术联合体内回肠代膀胱术时使用双J输尿管支架与带膜输尿管支架的比较研究
J Robot Surg. 2024 Jan 10;18(1):5. doi: 10.1007/s11701-023-01766-w.
2
The Use of a Polytetrafluoroethylene Membrane-Covered Stent in the Management of Urine Extravasation After Radical Cystectomy and Ileal Conduit Formation.聚四氟乙烯覆膜支架在根治性膀胱切除及回肠膀胱术形成后尿外渗处理中的应用
J Endourol Case Rep. 2020 Mar 11;6(1):4-6. doi: 10.1089/cren.2019.0052. eCollection 2020.
3
Ureteral stent technology: Drug-eluting stents and stent coatings.
输尿管支架技术：药物洗脱支架和支架涂层。
Asian J Urol. 2015 Oct;2(4):194-201. doi: 10.1016/j.ajur.2015.08.006. Epub 2015 Sep 21.
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Conduit Urinary Diversion.导管尿流改道
Urol Clin North Am. 2018 Feb;45(1):25-36. doi: 10.1016/j.ucl.2017.09.006.
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Urinary diversion: long-term functional aspects.尿流改道：长期功能方面
Urologia. 2014 Apr-Jun;81(2):65-75. doi: 10.5301/uro.5000071. Epub 2014 May 30.
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The value of interventional radiology in re-establishment of lost access to catheterizable channels to the bladder and bowel.介入放射学在重建失去的通往膀胱和肠道的可插管通道方面的价值。
J Pediatr Urol. 2014 Oct;10(5):917-21. doi: 10.1016/j.jpurol.2014.02.010. Epub 2014 Apr 3.
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Radiological management of patients with urinary obstruction following urinary diversion procedures: technical factors, complications, long-term management and outcome. Experience with 378 procedures.尿流改道术后尿路梗阻患者的放射学管理：技术因素、并发症、长期管理及结果。378例手术经验
J Med Imaging Radiat Oncol. 2008 Jun;52(3):237-43. doi: 10.1111/j.1440-1673.2008.01953.x.
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Complications of ureteral stent placement.输尿管支架置入的并发症。
Radiographics. 2002 Sep-Oct;22(5):1005-22. doi: 10.1148/radiographics.22.5.g02se081005.
9
Ureteral stent for nonrefluxing, continent urinary diversions. Reduces complications and hospitalization for patients.用于非反流性可控尿流改道术的输尿管支架。可减少患者的并发症及住院时间。
Urology. 1990 Jan;35(1):64-7. doi: 10.1016/0090-4295(90)80016-g.