腹腔镜下利用吸引器杆置入双J管经验报告  

A report of double-J stent placement during retroperitoneoscopic surgery

作　　者：宋体松[1] 葛玉锋[1] 张成辉[1] 吴永兵[1] 张俊[1] 姬超[1] 

机构地区：[1]泗洪县人民医院泌尿外,江苏泗洪223900

出　　处：《现代泌尿外科杂志》2011年第4期365-367,共3页Journal of Modern Urology

摘　　要：目的总结和探讨后腹腔镜下放置双J管经验技巧。方法回顾性分析采用后腹腔腔镜输尿管上段结石切开取石术的89例患者。术中模拟膀胱镜下逆行插管技术,采用吸引器杆放置双J管。结果 89例术中置管顺利,放置双J管时间40 s^5min,平均1.5 min。双J管放置准确到位的82例,远端未进入膀胱2例,插进尿道2例,近端未进入肾盂3例。术后漏尿1例,术后3天漏尿情况自动消失。结论腹腔镜下用吸引器杆放置双J管,方法简单方便快捷,效果确切值得推广应用。Objective To introduce and investigate the technique of double-J stent placement during retropcritoneoscopic surgery. Methods Data of 89 patients who underwent retroperitoncoscopic ureterolithotomy were analyzed retrospectively. The technique of cystoscopic retrograde catheterization was imitated and double-J stent was implanted with an absorbcr shcath. Results In all cases the double-J stent placement were successful, with a mean time of 1. 5 min （ ranging form 40scc to 5min）. The double-J stent wcrc implanted to the exact site in 82 cases. The distal end of the stent did not reach the bladder in 2 cases, and exceeded to the urethra in 2 cases. The proximal end did not inscrt into the renal pelvis in 3 cases. Urinary leakage presented in one case, and disappeared the 3rd day postoperatively. Conclusions It can bc a safe and effcctive approach to indwell double-J stcnt with a absorber sheath during laparoscopic surgery.

关 键 词：双丁管 腹腔镜 输尿管结石 

分 类 号：R699[医药卫生—泌尿科学]