导丝引导下输尿管支架管误入肠腔一例报告  

The double J tubeless misguided by zebra guidewire into ileum: a case report

作　　者：刘亮程 曹贵华 黄贵闽[1] 杜建平[1] 李伟[1] 董丽佳 李强 Liu Liangcheng;Cao Guihua;Huang Guimin;Du Jianping;Li Wei;Dong Lijia;Li Qiang(Department of Urology,Leshan People's Hospital,Leshan 614000,China)

机构地区：[1]乐山市人民医院泌尿外科,四川乐山614000

出　　处：《中华泌尿外科杂志》2021年第8期635-636,共2页Chinese Journal of Urology

摘　　要：报道1例输尿管皮肤造口患者更换双J管后出现的严重并发症。在斑马导丝引导下将双J管置入回肠,导致输尿管回肠瘘。提示当输尿管出现扭曲、狭窄以及炎症时,输尿管腔内不规范的操作导致输尿管穿孔的风险较高。规范化诊治以及合适的导丝选择可以降低输尿管穿孔的风险。A case of severe complications is presented that replaced the double J tubeless misguided by zebra guidewire into ileum in a patient with ureteral dermostomy,causing a ureteral ileum fistula.The result suggests improper operation of zebra guidewire could have a risk of ureteral perforation when the ureter is distorted,narrow or with inflammatory lesions.Standardized diagnosis and treatment and correct selection of guidewire can reduce the risk of ureteral perforation.

关 键 词：导管插入术 双J管 斑马导丝 输尿管穿孔 输尿管肠瘘 

分 类 号：R699[医药卫生—泌尿科学]