摘要
目的 分析双J管拔管困难的常见原因,探讨相关处理方法及预防措施.方法 回顾性分析2005年8月至2013年10月间共收治双J管使用膀胱镜或输尿管镜拔管困难16例患者的临床资料.结果 拔管困难原因：并发输尿管结石10例,肾结石3例,双J管打结2例,部分双J管输尿管外异位1例.所有病例均拔管成功,其中采取单纯输尿管镜取石术后拔管7例,体外冲击波碎石后拔管3例,体外冲击波碎石和输尿管镜取石交替使用后拔管1例,经皮肾镜取石后拔管1例,肾切开取石后拔管1例,输尿管镜配合钬激光切割双J管后拔管2例,输尿管镜配合钬激光切开输尿管壁后拔管1例.结论 双J管拔管困难原因很多,针对原因进行预防是减少双J管拔管困难发生的关键.出现后应联合多种手段,以达微创处理的目的.
Objective To analyze the common causes of difficulty in decannulation of Double-J stent and to investigate the corresponding management and preventive measures.Methods The clinical data of 16 patients from August 2005 to October 2013 with difficulty in decannulation of Double-J stent with cystoscope or ureteroscope were retrospectively analyzed.Results The causes of difficulty in decannulation were：10 cases complicated with ureteral calculus,3 cases complicated with renal calculus,2 cases had double-J stent knotted,1 case had partial double-J stent ectopic outside ureter.All the cases were succeeded in decannulation：7 cases had decamulation after ureteroscopic lithotripsy merely,3 cases had decannulation after extracorporeal shock wave lithotripsy,1 case had decannulation after extracorporeal shock wave lithotripsy interchanged with ureteroscopic lithotripsy,1 case had decannulation after percutaneous nephrolithotomy,1 case had decannulation after nephrolithotomy,2 cases had decannulation after cutting double-J stent with ureteroscopy combined with holmium laser,1 case had decannulation after cutting the wall of the ureter with ureteroscopy combined with holmium laser.Conclusion The reasons of difficulty in decannulation of double-J stent are many.Taking corresponding preventive measures is the key to reduce the difficulty in decannulation.A variety of means should be combined to reach the goal of minimally invasive treatment.
出处
《国际医药卫生导报》
2014年第9期1240-1242,共3页
International Medicine and Health Guidance News
关键词
双J管
拔管困难
原因
预防
Double-J stent
Dificulty in decannulation
Causes
Prevention
