摘要
报道1例输尿管皮肤造口患者更换双J管后出现的严重并发症。在斑马导丝引导下将双J管置入回肠,导致输尿管回肠瘘。提示当输尿管出现扭曲、狭窄以及炎症时,输尿管腔内不规范的操作导致输尿管穿孔的风险较高。规范化诊治以及合适的导丝选择可以降低输尿管穿孔的风险。
A case of severe complications is presented that replaced the double J tubeless misguided by zebra guidewire into ileum in a patient with ureteral dermostomy,causing a ureteral ileum fistula.The result suggests improper operation of zebra guidewire could have a risk of ureteral perforation when the ureter is distorted,narrow or with inflammatory lesions.Standardized diagnosis and treatment and correct selection of guidewire can reduce the risk of ureteral perforation.
作者
刘亮程
曹贵华
黄贵闽
杜建平
李伟
董丽佳
李强
Liu Liangcheng;Cao Guihua;Huang Guimin;Du Jianping;Li Wei;Dong Lijia;Li Qiang(Department of Urology,Leshan People's Hospital,Leshan 614000,China)
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2021年第8期635-636,共2页
Chinese Journal of Urology
关键词
导管插入术
双J管
斑马导丝
输尿管穿孔
输尿管肠瘘
Urinary catheterization
The double J tubeless
Zebra guidewire
Ureteral perforation
Ureteral ileal fistul
