[1]杨志国,赵海东,刘永江,等.后拔管法更换双J管在难辨认输尿管口病例中的应用[J].中华腔镜泌尿外科杂志(电子版),2010,(04):287-289.
　YANG Zhi-guo,ZHAO Hai-dong,LIU Yong-jiang,et al.A new method of replacement of double-J stent in the cases that ureteral orifice is difficult to identify[J].,2010,(04):287-289.
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后拔管法更换双J管在难辨认输尿管口病例中的应用()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2010年04期
页码:
287-289
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
A new method of replacement of double-J stent in the cases that ureteral orifice is difficult to identify
作者:
杨志国; 赵海东; 刘永江; 陈薇
中国人民解放军航空医学研究所附属医院泌尿外科,北京,100089
Author(s):
YANG Zhi-guo; ZHAO Hai-dong; LIU Yong-jiang; CHEN Wei
关键词:
输尿管; 双J管; 膀胱镜
摘要:
目的 探讨一种输尿管口在难辨认情况下更换双J管的新方法的价值.方法 本组选择了因不同原因造成输尿管口难辨认的15例患者,如果沿用传统的换管方法,拔除旧双J管后很可能导致输尿管口立刻被周围组织覆盖,置换新双J管将会极其困难,因此我们尝试了一种新的插管方法更换双J管,操作要点为:膀胱镜下逆行把新双J管沿旧管边自输尿管口向上插至肾盂,然后拔除输尿管内原双J管.结果 本组15例患者19支双J管中16支顺利插入成功,无输尿管穿孔,出血等操作并发症.结论 该方法简单安全,降低了插管难度,在没有增加创伤情况下解决了晚期膀胱肿瘤、重度腺性膀胱炎等病例更换双J管困难的问题,在难辨认输尿管口的情况下更换双J管可作为一种选择.

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更新日期/Last Update: 1900-01-01