双J管在上尿路梗阻性疾病中的应用(附64例报告)  

Application of double Jureteral catheterin upperurinary tract obstruction: Report of 64 cases

作　　者：孟繁林[1] 陈斌[1] 张文[2] 何水清[2] 梁磊[1] 

机构地区：[1]北京普仁医院泌尿外科,北京100062 [2]北京市丰台医院,北京100071

出　　处：《现代生物医学进展》2010年第16期3057-3058,共2页Progress in Modern Biomedicine

摘　　要：目的:探讨双J管在上尿路梗阻性疾病中应用疗效及并发症防治。方法:对64例复杂性肾结石、输尿管结石、肾盂输尿管连接部狭窄者在上尿路应用双J管进行内支架和内引流,并随访观察。结果:1例双J管自动脱落,1例因异物排斥反应提前拔管。无明显腰痛酸胀及膀胱刺激症状,手术病人无切口感染和尿漏,无1例双J管堵塞、滞留。置管3月后,患者肾脏功能与形态均有明显改善或恢复正常。结论:双J管在上尿路疾病中疗效肯定,并发症少,易于掌握,可缩短住院时间,值得推广应用。Objective： To evaluate the effect of double J ureteral catheters in the management of upper urinary tract obstructions and its complications prophylaxis. Methods： The double J ureteral stents were used as internal stands and drainage in the operation of upper urinary tract in 64 patients with complicated kidney calculi, ureteral calculi and ureteropelvic junction （UPJ） obstruction under, then follow-up. Results： The double J tube in one case failed away itself, the double J tube in one case was removed because of allograft rejection. There was no obvious back pain and urocystic stimulus syndrome, no complications such as urinary infection and leakage of urine were noted, no double J tube detained in one case. At 3-month follow-up, the renal function and morphology of patients were significantly improved or returned to normal. Conclusions： The placement of Double-J catheters after operation for upper urinary obstruction had advantages of good effectiveness in draining, little complication, easiness and short hospitalization time, which should be the routine method for upper urinary obstruction.

关 键 词：双J导管 尿路梗阻 引流 

分 类 号：R693[医药卫生—泌尿科学]