输尿管内支架管滞留后拔除困难的临床处理进展  

The progress in clinical management of difficult decannulation after ureteral stent retention

作　　者：杨刚[1,2] 沈天一 周昱霖 周文泉 YANG Gang;SHEN Tian-yi;ZHOU Yu-lin;ZHOU Wen-quan(Department of Urology,Nanjing General Hospital of Nanjing Military Region,PLA,Nanjing 210002,Jiangsu,China)

机构地区：[1]南京军区南京总医院泌尿外科,南京210002 [2]南京市中医院泌尿外科

出　　处：《医学研究生学报》2018年第12期1314-1318,共5页Journal of Medical Postgraduates

基　　金：国家自然科学基金(81372742)。

摘　　要：输尿管内支架管(双J管)的长期滞留会导致双J管移位、断裂以及管周结石形成等并发症,是造成常规膀胱镜下双J管拔除困难的主要原因,其临床处理较为复杂,涉及不同的微创内镜技术,甚至需要通过传统开放手术方式取管。近年来,关于双J管滞留后拔除困难的报道越来越多,其中,多镜联合的手术方式得到了众多专家学者的推荐,而基于影像学检查的KUB评分系统有助于术前充分评估手术的难度及患者的预后。文章就双J管滞留的诊断方法、拔除困难的原因、术前准备以及手术处理进展等方面进行综述。The long-term retention of ureteral stent(double J tube)leads to the displacement and fracture of double J tube,and the formation of peritube stones,which are the main causes of the difficult decannulation through conventional cystoscopy.Its clinical treatment is more complex,involving different minimally invasive endoscopic techniques,and even by traditional open surgery.In recent years,more and more reports on the difficulty of removing double J tubes after retention.Among them,the multi-mirror combined operation method has been recommended,and the KUB scoring system based on imaging examination contributes to evaluate the difficulty of operation and prognosis of patients before operation.This article reviews the diagnosis of double J tube retention,the causes of difficult decannulation,preoperative preparation and progress of surgical management.

关 键 词：输尿管内支架管 双J管滞留 结石形成 拔除困难 临床处理 

分 类 号：R693[医药卫生—泌尿科学]