双J管静脉内异位1例报告及文献复习  

Intravenous malposition of double J stent: a case report and literature review

作　　者：李文斌[1] 王天恩[1] 李建[1] 王智勇[1] LI Wenbin;WANG Tianen;LI Jian;WANG Zhiyong(Department of Urology,The First Affiliated of Zhengzhou University,Zhengzhou 450052,China)

机构地区：[1]郑州大学第一附属医院泌尿外科,河南郑州450052

出　　处：《现代泌尿外科杂志》2023年第2期145-148,共4页Journal of Modern Urology

摘　　要：目的 探讨双J管静脉内异位的原因及诊治策略,提高临床医师对该病的认知。方法 回顾分析我院1例双J管静脉内异位患者的临床资料,并进行文献复习。结果 患者女性,51岁,因子宫切除术后尿瘘入院,诊断为右侧双J管静脉内异位并输尿管阴道瘘,行达芬奇机器人辅助腹腔镜下右侧双J管拔除加输尿管膀胱再植术。结论 静脉内异位是双J管置入术的罕见且可进一步迁移危及生命的并发症。根据双J管位置及患者一般情况选择手术方式,多数患者可行微创手术治疗。Objective To investigate the causes of intravenous malposition of double J stent and treatment strategies, in order to improve clinicians’ awareness of this complication.Methods Clinical data of a patient with intravenous malposition of double J stent were analyzed and relevant literature was reviewed.Results A 51-year-old female was admitted with post-hysterectomy urinary fistula and diagnosed with right intravenous malposition of double J stent and ureterovaginal fistula. Da Vinci robot-assisted laparoscopic right double J stent removal and ureteral reimplantation were performed. Conclusion Intravenous malposition is a rare and life threatening complication of double J stent placement, which can migrate further. The surgical method should be selected according to the location of the stent and general condition of the patients. Minimally invasive surgery is the first choice of treatment.

关 键 词：输尿管支架 罕见并发症 肾静脉 下腔静脉 装置取出 

分 类 号：R699.4[医药卫生—泌尿科学]