Postoak D, Simon J M, Monga M, Ferral H, Thomas R
Department of Interventional Radiology, Louisiana State University Medical Center, New Orleans 70112, USA.
Urology. 1997 Jul;50(1):113-6. doi: 10.1016/s0090-4295(97)00204-5.
We describe an alternative method of double J stent placement for ureteral transection following the failure of traditional antegrade and retrograde approaches. Cystoscopically, a guidewire was placed across the distal ureteral segment and was advanced into a urinoma cavity at the level of the transected ureter. Subsequently, an antegrade approach was used to place a gooseneck snare through the proximal ureteral segment into the urinoma cavity. The guidewire was grasped with the snare and pulled through the percutaneous access site. A double J ureteral stent was then placed using the typical antegrade method.
我们描述了一种在传统顺行和逆行方法失败后用于输尿管横断的双J支架置入的替代方法。在膀胱镜检查下，将一根导丝穿过输尿管远段并推进到输尿管横断水平的尿瘤腔内。随后，采用顺行方法将一个鹅颈圈套器通过输尿管近段置入尿瘤腔内。用圈套器抓住导丝并将其从经皮穿刺部位拉出。然后使用典型的顺行方法置入双J输尿管支架。
