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输尿管双J支架管置入术后再次梗阻因素分析 被引量:9

Ureteral re-obstruction after double-J ureteral stent tube implantation: analysis of the risk factors
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摘要 目的探讨输尿管双J支架管置入术后再次梗阻的影响因素。方法回顾性分析121例肿瘤性肾盂积水置入输尿管双J管的临床资料,对肿瘤进展、尿盐结垢、肾小球滤过功能、每日尿量、尿路感染、留管时间、下尿路功能及双J管内径等因素总结,分析输尿管再次梗阻的原因及预防方法。结果 121例患者48例再梗阻,其中肿瘤进展、尿盐结垢、尿路感染、留置时间是主要影响因素,占87.5%;肾小球滤过功能、每日尿量及下尿路功能也是重要因素,占12.5%。另外,双J管内径也是影响再梗阻的因素。通过局部控制肿瘤、改善饮用水及按时换双J管等相应措施,44例未再梗阻,4例因肿瘤进展再梗阻改外引流。结论输尿管双J管置入后,积极抗肿瘤治疗、降低饮用水硬度、改善肾功能、多饮水排尿、预防尿路感染、缩短留管时间、纠正下尿路功能障碍能有效地延缓或预防双J管再次梗阻。 Objective To investigate the possible factors related to the ureteral re-obstruction after double-J ureteral stent tube implantation. Methods The clinical date of 121 patients with hydronephrosis caused by renal tumor, who had received double-J ureteral stent tube implantation treatment, were retrospective analyzed. The factors that might cause ureteral re-obstruction, such as tumor progression, urinary salt scaling, glomerular filtration function, daily urine volume, urinary tract infection, tube- indwelling time, the function of lower urinary tract, double-J tube diameter, etc. were analyzed, the reasons causing ureteral re-obstruction were summarized, and the preventive measures were suggested. Results Of the 121 patients, ureteral re-obstruction occurred in 48. Among them, the tumor progression, urinary salt scaling, urinary tract infection and the tube-indwelling time were the main inducing factors (87.5%); glomerular filtration function, daily urine volume and the function of lower urinary tract were also the important factors (12.5%). Besides, the inner diameter of double-J ureteral stent tube was also a factor that affected the occurrence of re-obstruction. After corresponding measures were adopted, including local control of tumor, improvement of drinking water and replacement of double-J stent tube on time, etc. no recurrence of re-obstruction was observed in 44 patients, and in the remaining 4 patients external drainage had to be employed as re- obstruction occurred due to tumor progression. Conclusion In order to protect the ureter from being re-obstructed after the implantation of double-J stent tube, active measures should be taken after double-J stent tube implantation; the effective measures include anti-tumor treatment, reducing the hardness of drinking water, improving renal function, drinking more water and more micturition, prevention of urinary tract infection, shortening the tube-indwelling time, correcting the lower urinary tract dysfunction, and so forth.
出处 《介入放射学杂志》 CSCD 北大核心 2016年第10期918-921,共4页 Journal of Interventional Radiology
基金 国家自然科学基金(81372370)
关键词 输尿管支架 再次梗阻 影响因素 ureteral stent re-obstruction risk factor
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  • 1戚德峰,吴开俊,李逊,单帜昌,夏民义,郭彬,陈文忠,曾国华.输尿管内支架对兔上尿路尿流动力学的影响[J].第一军医大学学报,2004,24(11):1260-1262. 被引量:10
  • 2万旭辉,赖建平,陈善勤.双J管在上尿路梗阻中的应用(附1400例报告)[J].临床医学,2005,25(12):78-79. 被引量:5
  • 3李为兵,李龙坤,鄢俊安.双J管在泌尿外科中的应用(附1580例报告)[J].中国内镜杂志,2006,12(4):376-377. 被引量:60
  • 4任吉忠,闵志廉,朱有华,齐隽,王亚伟.双J管的应用与随访[J].中华泌尿外科杂志,1996,17(12):758-759. 被引量:60
  • 5Deliveliotis C, Chrisofos M, Gougousis E, et al. Is there a role for alpha1- blockers in treating double-J stent-related symptoms? Urology, 2006,67 : 35-39.
  • 6Joshi HB, Stainthorpe A, MacDonagh RP, et al. Indwelling ureteral stents: evaluation of symptoms, quality of life and utility. J Urol, 2003,169 : 1065-1069.
  • 7Oh SJ, Ku JH, Byun SS, et al. Systemic chemotherapy in patients with indwelling ureteral stenting. Int J Urol, 2005, 12:548-551.
  • 8Ringel A, Richter S, Shalev M, et al. Late complications of ureteral stents. Eur Urol,2000,38:41-44.
  • 9Richter S, Ringel A, Shalev M, et al. The indwelling uretetic stent: a ‘friendly' procedure with unfriendly high morbidity. BJU Int,2000,85:408-411.
  • 10Mosli HA, Farsi HM, al-Zimaity MF, et al. Vesicoureteral reflux in patients with double pigtail stents. J Urol, 1991, 146 : 966-969.

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