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输尿管内支架管移位的原因及其防治
引用本文:李建勇,朱平宇,蒋冰蕾,程树林,廖波. 输尿管内支架管移位的原因及其防治[J]. 现代预防医学, 2012, 39(14): 3706-3707
作者姓名:李建勇  朱平宇  蒋冰蕾  程树林  廖波
作者单位:1. 川北医学院附属医院泌尿外科,四川南充,637000
2. 川北医学院附属医院超声科
摘    要:目的探讨输尿管内支架管移位的原因、处理以及预防措施。方法对2005~2011年某科17例发生输尿管内支架移位患者的临床资料进行回顾性分析。结果 15例上移的内支架14例用输尿管镜取出,另1例开放取出。2例下移的支架管在膀胱镜下取出后并重新放置,所有患者术后随访无远期并发症发生。结论术前选择合适的双J管、术中仔细操作等可有效预防双J管移位,输尿管镜下取双J管是处理内支架上移的首选方法。

关 键 词:输尿管内支架管  双J管  输尿管镜  内支架移位

Reason and management of double J ureteral stent placement(report of 17 cases)
LI Jian-yong , ZHU Ping-yu , JIANG Bing-lei , CHEN Shu-Lin , LIAO Bo. Reason and management of double J ureteral stent placement(report of 17 cases)[J]. Modern Preventive Medicine, 2012, 39(14): 3706-3707
Authors:LI Jian-yong    ZHU Ping-yu    JIANG Bing-lei    CHEN Shu-Lin    LIAO Bo
Affiliation:. *Department of Urology,The Affiliated Hospital of North Sichuan Medical College,Nanchong,Sichuan 637000,China
Abstract:OBJECTIVE To summary the reason,prevention and management of double-J stent placement.METHODS From January 2005 to December 2011,seventeen cases with double J ureteral stent placement were retrospectively analyzed,including migrating proximally in the ureter(fifteen cases)and distally in the bladder(two cases).RESULTS Two cases of distal stent migration were repositioned by cystoscopy,fourteen cases with migrating proximally in the ureter were moved by ureteroscopy and one case by open surgery.No complication occurred when the patients were followed up.CONCLUSION Ureterscopy is the ideal technique for removal of migrated stents
Keywords:Ureteral stent  Double J stent  Ureteroscopy  Migrated ureteral stent
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