国际医药卫生导报2014，Vol.20Issue(9)：1240-1242,3.DOI:10.3760/cma.j.issn.1007-1245.2014.09.021
双J管拔管困难的处理及预防分析(附16例报告)
Management and prevention of difficulty in decannulation of Double-J Stent (with 16 cases report)
摘要
Abstract
Objective To analyze the common causes of difficulty in decannulation of Double-J stent and to investigate the corresponding management and preventive measures.Methods The clinical data of 16 patients from August 2005 to October 2013 with difficulty in decannulation of Double-J stent with cystoscope or ureteroscope were retrospectively analyzed.Results The causes of difficulty in decannulation were:10 cases complicated with ureteral calculus,3 cases complicated with renal calculus,2 cases had double-J stent knotted,1 case had partial double-J stent ectopic outside ureter.All the cases were succeeded in decannulation:7 cases had decamulation after ureteroscopic lithotripsy merely,3 cases had decannulation after extracorporeal shock wave lithotripsy,1 case had decannulation after extracorporeal shock wave lithotripsy interchanged with ureteroscopic lithotripsy,1 case had decannulation after percutaneous nephrolithotomy,1 case had decannulation after nephrolithotomy,2 cases had decannulation after cutting double-J stent with ureteroscopy combined with holmium laser,1 case had decannulation after cutting the wall of the ureter with ureteroscopy combined with holmium laser.Conclusion The reasons of difficulty in decannulation of double-J stent are many.Taking corresponding preventive measures is the key to reduce the difficulty in decannulation.A variety of means should be combined to reach the goal of minimally invasive treatment.关键词
双J管/拔管困难/原因/预防Key words
Double-J stent/ Dificulty in decannulation/ Causes/ Prevention引用本文复制引用
刘创明..双J管拔管困难的处理及预防分析(附16例报告)[J].国际医药卫生导报,2014,20(9):1240-1242,3.
