Bøe H, Johansen T E, Nilsen N H
Urologisk seksjon, Telemark Sentralsjukehus, Porsgrunn.
Tidsskr Nor Laegeforen. 1994 Apr 30;114(11):1306-8.
Double J-catheters were placed between the renal pelvis and the urinary bladder in 20 ureters in 18 patients with impaired renal function. Retrograde catheterization via cystoscopy was impossible. The mean age of the patients was 69 years. The ureteral obstruction was a malignant tumour in 12 cases, a benign condition in three, and immediate postoperative complication in a further three patients. 11 patients were in the terminal phase of malignant disease. In six cases catheterization was accomplished by a combined antegrade and retrograde technique and a joint effort by radiologist and urologist. Antegrade placement of an internal stent is less harmful to the patient than external drainage of the renal pelvis. Large reoperations can be avoided in patients with ureteral obstruction caused by postoperative complications.
在18例肾功能受损患者的20条输尿管中，在肾盂和膀胱之间放置了双J管。通过膀胱镜逆行插管是不可能的。患者的平均年龄为69岁。输尿管梗阻12例为恶性肿瘤，3例为良性病变，另外3例为术后即刻并发症。11例患者处于恶性疾病晚期。6例通过顺行和逆行联合技术以及放射科医生和泌尿科医生的共同努力完成了插管。对于患者而言，肾盂内置入支架顺行放置比肾盂外引流危害更小。对于由术后并发症引起输尿管梗阻的患者，可以避免大型再次手术。
