Babel S G, Winterkorn K G
X-Ray Associates of New Mexico, Albuquerque 87102.
Radiology. 1993 May;187(2):547-9. doi: 10.1148/radiology.187.2.8475305.
Standard angiographic techniques were applied to fluoroscopically directed retrograde guide wire or catheter placement into the distal ureter without cystoscopic assistance. The procedure was successful in five of the seven initial attempts, with no complications. Retrograde pyelography and stent placement were accomplished for a benign posttraumatic ureteral stricture, a proximal ureteral calculus, and three malignant ureteral strictures. Percutaneous nephrostomy was obviated in all successful cases. Fluoroscopy time averaged less than 3 minutes. Mild intravenous sedation was used, and the procedure was well tolerated. This initial experience suggests that this method may be useful for a variety of endourologic procedures, as well as for routine retrograde pyelography.
采用标准血管造影技术，在无膀胱镜辅助的情况下，通过荧光透视引导将逆行导丝或导管置入输尿管远端。在最初的7次尝试中，有5次成功，无并发症发生。对1例良性创伤后输尿管狭窄、1例输尿管上段结石和3例恶性输尿管狭窄进行了逆行肾盂造影和支架置入术。所有成功病例均无需进行经皮肾造瘘术。荧光透视时间平均少于3分钟。采用了轻度静脉镇静，患者对该操作耐受性良好。这一初步经验表明，该方法可能对各种腔内泌尿外科手术以及常规逆行肾盂造影有用。
