[双J输尿管支架内引流术。91例]
[Internal drainage by double J ureteral stents. 91 cases].
作者信息
el Khader K, Koutani A, Tazi K, Iben Attya A, Hachimi M, Lakrissa A
机构信息
Service d'Urologie B, Hôpital Avicenne, Rabat, Maroc.
出版信息
Ann Urol (Paris). 1996;30(5):235-9.
Urinary drainage by indwelling double J ureteral stent is well documented in the urologic literature. We used these stents in 91 patients. The majority of stents were placed endoscopically (68%). Indications were: -Ureteral obstruction (39 cases) such as tuberculous ureteral strictures, obstruction due to urolithiasis and pelvic malignancies. -Upper urinary tract surgery (29 cases) mainly pyeloplasty, pyelolithotomy, ureterovaginal fistula repair and ureteroneocystostomy. -Adjunct to endourologic treatment (16 cases) such as ureteroscopy and endopyelotomy. -Preparation for extracorporeal lithotripsy (7 cases). The complication rate associated with placement of double J stents was minimal (6.6%). The major complication was migration (3 cases). The average drainage time was 5.8 weeks. In view of these results we conclude that double J stent is safe, effective and has minimal complications.
留置双J输尿管支架进行尿液引流在泌尿外科文献中有充分记载。我们在91例患者中使用了这些支架。大多数支架是通过内镜放置的（68%）。适应证包括：-输尿管梗阻（39例），如结核性输尿管狭窄、尿路结石所致梗阻及盆腔恶性肿瘤。-上尿路手术（29例），主要是肾盂成形术、肾盂切开取石术、输尿管阴道瘘修补术及输尿管膀胱吻合术。-腔内泌尿外科治疗的辅助手段（16例），如输尿管镜检查和肾盂内切开术。-体外冲击波碎石术的准备（7例）。双J支架置入相关的并发症发生率很低（6.6%）。主要并发症是移位（3例）。平均引流时间为5.8周。鉴于这些结果，我们得出结论：双J支架安全、有效且并发症极少。
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