经皮肾顺行置入支架管治疗输尿管狭窄3例报告分析  

Percutaneous antegrade ureteral stent placement for ureteral stricture:a report of 3 cases

作　　者：倪安 徐光海 毛翠兰 NI An;XU Guang-hai;MAO Cui-lan(Department of Urology,Chuxiong Prefecture People's Hospital,Chu)

机构地区：[1]云南省楚雄州人民医院泌尿外科,675000

出　　处：《中国实用医药》2022年第21期166-168,共3页China Practical Medicine

摘　　要：回顾分析本院2018年3月~2020年12月收治的3例输尿管狭窄患者的临床资料,并复习相关文献,探讨经皮肾顺行置入支架管治疗输尿管狭窄的效果。3例输尿管狭窄患者经尿道手术均失败,改行经皮肾穿刺造瘘术引流,待感染控制、肾功能好转后,二期通过经皮肾通道顺行置入导丝,再沿导丝推入支架管的方法均取得成功。随访6~18个月,预后良好。对于输尿管狭窄患者,首选方法为经尿道采用镜体扩张、球囊扩张、内切开、输尿管支架置入术等方法治疗,但某些特殊病例只能采用经皮肾顺行置入支架管的非常规方法,此办法能够解除输尿管梗阻患者的积水症状,改善患者的肾功能,且操作简单、成功率高、安全、有效。The clinical data of 3 patients with ureteral stenosis who were admitted to our hospital from March 2018 to December 2020 were retrospectively analyzed,and the relevant literature was reviewed to discuss the effect of percutaneous anterograde ureteral stent placement for ureteral stenosis.3 patients with ureteral stricture failed in transurethral surgery,and they were converted to percutaneous nephrostomy drainage.After infection control and improvement of renal function,the second stage of percutaneous renal channel antegrade placement of guide wire,and then push the stent along the guide wire were all successful.The patients were followed up for 6-18 months and the prognosis was good.For the patients with ureteral stricture,the first choice is transurethral endoscopic dilatation,balloon dilatation,internal incision and ureteral stent implantation.But some special cases can only use the unconventional method of percutaneous ureteral antegrade stent placement,this method can relieve the symptoms of hydronephrosis in patients with ureteral obstruction,improve the renal function of patients,and the operation is simple,safe,effective and has a high success rate.

关 键 词：输尿管狭窄 经皮肾顺行置入支架管 经皮肾穿刺造瘘术 腔内泌尿外科技术 

分 类 号：R699.4[医药卫生—泌尿科学]