逆行法介入治疗输尿管良性狭窄  

Retrograde interventional technique for benign ureteral strictures

作　　者：朱明德[1] 郝刚[2] 袁玉厚 陆晨晖[4] 王海岩[4] 

机构地区：[1]山东省高密市人民医院放射科,261500 [2]山东省潍坊市人民医院 [3]甘肃省白银市第一人民医院 [4]上海市东方医院

出　　处：《介入放射学杂志》2006年第3期167-168,共2页Journal of Interventional Radiology

摘　　要：目的探讨输尿管良性狭窄的介入治疗方法及疗效。方法对19例患者20处输尿管良性狭窄病变行球囊扩张并放置双猪尾输尿管支架。结果16例成功,3例失败。失败者1例为迷走血管压迫,1例为纤维索带压迫,1例为输尿管极度迂曲致导丝插入失败。16例成功者经静脉肾盂造影及B超复查显示肾盂积水逐步缓解,肾功能改善,2例输尿管支架尾端进入输尿管内形成医源性异物,后经输尿管镜取出。结论输尿管良性狭窄的介入治疗具有创伤小、操作简单等优点,为输尿管良性狭窄的患者提供了新的治疗方法。Objective To discuss interventional treatment technique for benign ureteral strictures. Methods A total of 19 cases with 20 benign ureteral strictures were treated with balloon dilatation and double-pigtail ureteral stent placement, Results Among 19 caces, 16 were succeeded in a rate of 84.2% . The three failure cases included one of compression by aberrant vessels, one by compression of fibrous-strings and the last one due to tortuosity of the ureter. Re-examinations, by intravenous urography and B ultrasound were carried out in 16 successors, showed gradually release of hydro-nephrosis and renal function improvement, latrogenic foreign body ocurred in 2 cases, caused by the protruding tail of stent which had been taken out under ureteroscopy. Conclusions Interventional technique for benign ureteral strictures possesses adventages with mild injury, simple operation, and a new effective method.

关 键 词：输尿管 狭窄 介入放射 

分 类 号：R693.2[医药卫生—泌尿科学]