The application of retrograding double J tube in the drug -crystalline upper urinary tract obstruction

VernacularTitle:逆行置入双J管在药物结晶性上尿路梗阻治疗中的应用
Author: Fengzhi SHAN ; Zhengwei WANG ; Lei WANG ; Guangzhou CHENG ; Fengyi WANG
Publication Type:Journal Article
Keywords: Double J tube; Drug crystal; Upper urinary tract obstruction
From: Chinese Journal of Primary Medicine and Pharmacy 2015;(11):1671-1672,1673
CountryChina
Language:Chinese
Abstract: Objective To investigate the effects of the double J tube in treating drug -crystalline upper uri-nary tract obstruction.Methods There were 12 cases of drug -crystalline urinary tract obstruction,which were diag-nosed by CT for urinary tract obstruction.With the help of cystoscope,we retrograde placed the double -J tube in all the 12 patients who with persistently elevated serum creatinine in the next day of admission.Results Nine patients were successfully placed double J stent and serum creatinine of the patients decreased to normal rapidly.There were 2 patients with failed implantation and were with persistently elevated serum creatinine.1 patient with unilateral urina-ry tract obstruction was treated with conservative treatment and eventually cured.Conclusion Patients with drug -induced renal injury should have a routine bilateral ureteral CT scan,once they are clearly diagnosed as drug crystal upper urinary tract obstruction in them,timely placement of bilateral double J tube with the help of cystoscope,which was a simple and effective treatments.