Kearney G P, Mahoney E M, Brown H P
Urology. 1979 Aug;14(2):126-34. doi: 10.1016/0090-4295(79)90143-2.
Endoscopically placed inlying ureteral stents have proved useful in the conservative management of patients with ureteral obstruction, urinary fistula, and malignancy and have obviated the need for operative intervention. In high-risk symptomatic patients with widespread malignancy, internal urinary diversion offers the opportunity for an improved quality of life without the surgical risk or potential morbidity of supravesical diversion. Potential candidates for this simple, safe, and effective technique include: those with postsurgical obstruction and/or fistula, retroperitoneal fibrosis, metastatic carcinoma, congenital ureteropelvic junction obstruction, as well as those with reversible obstruction from lymphoma and carcinoma of the prostate who are undergoing radiotherapy and/or chemotherapy. The focus of this report is on the technique we have found successful in providing us with stents that fit our individual patients. Readily available fabricated graduated ureteral catheter can be cut and shaped to particular measurements unlike prefabricated catheters. Minimal preparation time is demanded, and there is no need for extensive stocking of various catheter sizes.
经内镜放置的输尿管内支架已被证明在输尿管梗阻、尿瘘和恶性肿瘤患者的保守治疗中有用，并且避免了手术干预的需要。在患有广泛恶性肿瘤的高危症状性患者中，体内尿流改道提供了改善生活质量的机会，而没有膀胱上尿流改道的手术风险或潜在发病率。这种简单、安全且有效的技术的潜在候选者包括：术后梗阻和/或瘘管患者、腹膜后纤维化患者、转移性癌患者、先天性输尿管肾盂连接部梗阻患者，以及正在接受放疗和/或化疗的因淋巴瘤和前列腺癌导致可逆性梗阻的患者。本报告的重点是我们发现成功为个体患者提供合适支架的技术。与预制导管不同，现成的预制刻度输尿管导管可以根据特定尺寸进行切割和塑形。所需的准备时间最少，并且无需大量储备各种尺寸的导管。
