[1]赵海波,李逊,何永忠,等.镍钛形状记忆合金支架在移植肾继发输尿管狭窄中的应用[J].中华腔镜泌尿外科杂志(电子版),2017,11(03):178-182.[doi:10.3877/cma.j.issn.1674-3253.2017.03.009 ]
 Zhao Haibo,Li Xun,He Yongzhong,et al.NiTi shape memory metal stent in the treatment of secondary ureteral stenosis post kidney Transplantation[J].,2017,11(03):178-182.[doi:10.3877/cma.j.issn.1674-3253.2017.03.009 ]
点击复制

镍钛形状记忆合金支架在移植肾继发输尿管狭窄中的应用()
分享到:

中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
11
期数:
2017年03期
页码:
178-182
栏目:
临床研究
出版日期:
2017-06-30

文章信息/Info

Title:
NiTi shape memory metal stent in the treatment of secondary ureteral stenosis post kidney Transplantation
作者:
赵海波李逊何永忠徐桂彬
510700 广州医科大学附属第五医院泌尿外科
Author(s):
Zhao Haibo Li Xun He Yongzhong Xu Guibin.
Department of Urology, the Fifth Affiliatied Hospital of Guangzhou Medical University, Guangdong 510700, China
关键词:
支架 继发性输尿管狭窄 移植肾
DOI:
10.3877/cma.j.issn.1674-3253.2017.03.009
摘要:
目的 评估镍钛形状记忆合金支架在移植肾继发输尿管狭窄患者中应用的安全性和有效性。方法 回顾分析我院2007 年6 月至2015 年1 月共10 例移植肾继发输尿管狭窄患者的临床资料,观察其使用镍钛形状记忆合金支架植入治疗后的临床表现,金属支架植入后每3 个月行泌尿系超声、尿路造影、利尿肾图、中段尿培养,必要时行输尿管镜检。结果 所有患者均成功植入镍钛形状记忆合金支架,手术时间平均(43±10)min。总体随访时间平均39 个月。没有发现金属支架移位或破裂的现象。下尿路症状和同侧下腹部疼痛是常见的早期并发症,平均3 个月后均能得到有效的缓解。2 例患者出现肾功能损害,其中1 例患者术前已有肾功能损害;进一步输尿管镜检查发现这2 例患者出现了不同程度的尿路上皮增生。术前已有肾功能损害的患者在术后18 个月因尿路上皮增生最终导致输尿管梗阻,且在术后36 个月随访结束时需行血液透析治疗。结论 镍钛形状记忆合金支架治疗移植肾继发输尿管狭窄是安全且有效的。

参考文献/References:

[1] Giessing M. Transplant ureter stricture following renal transplantation: Surgical options[J]. Transplant Proc, 2011, 43(1):383-386.
[2] Greco F, Alba S, Fornara P, et al. Renal transplantation: technical aspects, diagnosis and management of early and late urological complications[J]. Panminerva Med, 2016, 58(4): 294-303.
[3] Streeter EH, Little DM, Cranston DW, et al.The urological complications of renal transplantation: a series of 1535 patietns[J].BJU Int, 2002, 90(7): 627-634.
[4] Kumar S, Ameli-Renani S, Hakim A, et al. Ureteral obstruction following renal transplantation: causes, diagnosis and managemnet[J].Br J Radiol, 2014, 87(1044): 20140169.
[5] Faenza A, Nardo B, Catena F, et al. Ureteral stenosis after kniedy transplantation: interventional radiology or surgery? [J]. trasnplant proc, 2001, 33(1): 2045-2046.
[6] Miyaoka R, Duran-Castro OL, Alanee S, et al. Use of tandem double J stents in the management of recurrent and recalcitrant ureteral stenosis after kidney transplantation[J]. Urology, 201, 77(6): 1299-1303.
[7] Bromwich E1, Coles S, Atchley J, et al. A 4-year review of balloon dilation of ureteral strictures in renal allografts[J]. J Endrooul, 2006,20(12): 1060-1061.
[8] Li Marzi V, Filocamo MT, Dattolo E, et al. The treatment of ftiuslae and ureteral stenosis after kidney transplantation[J]. Transplnat Proc, 2005, 37(6): 2516-2517.
[9] Gdor Y, Gabr AH, Faerber GJ, et al. Holmium:yttrium-aluminumgarnet laser endoureterotomy for the treatment of transplant kidney ureteral strictures[J]. Transplantation, 2008, 85(9): 1318-1321.
[10] Gort HB, Mali WP, van Waes PF, et al. Metallic self-expandible stenting of a ureteroileal stricture[J]. AJR Am J Roentgenol,1990,155(2): 422-423.
[11] Arya M, Mostafid H, Patel HR, et al. The self-expanding metallci ureteric stent in the long-term management of benign ureteric strictures[J]. BJU Int, 2001, 88(4): 339-342.
[12] Barbalias GA, Siablis D, Liatsikos EN, et al. Metal stents: A new treatment of malignant ureteral obstruction[J]. J Urol, 1979, 158(1): 54-58.
[13] Kulkarni R, Bellamy E. Nickel-titanium shape memory alloy Memokath 051 ureteral stent for managing long-term ureteral obstruction: 4-year experience[J]. J Urol, 2001, 166(5): 1750-1754.
[14] Agrawal S, Brown CT, Bellamy EA, et al. The thermoexpandable metallic ureteric stent: An 11-year follow-up[J]. BJU Int, 2009 ,103(3): 372-376.
[15] Li X, He Z, Yuan J, et al. Long-term results of permanent metlailc stent implantation in the treatment of benign upper urinary trcat occlusion[J]. Int J Urol, 2007, 14(8): 693-698.

备注/Memo

备注/Memo:
基金项目:广东省教育厅青年创新人才类项目(2014KQNCX124)
通讯作者:徐桂彬,Email:gyxgb@163.com
更新日期/Last Update: 2017-06-25