逆行置入双J管在药物结晶性上尿路梗阻治疗中的应用  

The application of retrograding double J tube in the drug - crystalline upper urinary tract obstruction

作　　者：单锋芝[1] 王正位[1] 王磊[1] 程广舟[1] 王逢义[1] 

机构地区：[1]滕州市中心人民医院泌尿外科,山东省滕州277500

出　　处：《中国基层医药》2015年第11期1671-1673,共3页Chinese Journal of Primary Medicine and Pharmacy

摘　　要：目的探讨双J管在药物结晶性上尿路梗阻治疗中的应用效果。方法回顾性分析12例药物结晶性上尿路梗阻患者的临床资料，经CT检查确诊为输尿管梗阻，对入院次日血肌酐持续升高的患者在膀胱镜下逆行放置双J管治疗，观察临床效果。结果9例患者顺利置入双J管，血肌酐迅速下降至正常。2例患者未能置入，血肌酐持续升高，1例患者单侧输尿管梗阻，次日血肌酐下降，保守治疗治愈。结论对于药物性肾损伤的患者，应常规行双侧输尿管CT检查，一旦明确有药物性结晶，及时在膀胱镜下放置双侧双J管，是简单、有效的治疗措施。Objective To investigate the effects of the double J tube in treating drug - crystalline upper uri- nary tract obstruction. Methods There were 12 cases of drug - crystalline urinary tract obstruction, which were diag- nosed by CT for urinary tract obstruction. With the help of cystoseope, we retrograde placed the double - J tube in all the 12 patients who with persistently elevated serum creatinine in the next day of admission. Results Nine patients were successfully placed double J stent and serum ereatinine of the patients decreased to normal rapidly. There were 2 patients with failed implantation and were with persistently elevated serum creatinine. 1 patient with unilateral urina- ry tract obstruction was treated with conservative treatment and eventually cured. Conclusion Patients with drug - induced renal injury should have a routine bilateral ureteral CT scan, once they are clearly diagnosed as drug crystal upper urinary tract obstruction in them, timely placement of bilateral double J tube with the help of cystoscope, which was a simple and effective treatments.

关 键 词：双J管 药物结晶 尿路梗阻 

分 类 号：R691.2[医药卫生—泌尿科学]