DoubleGJstentplacementinthetreatmentoflowerureteralstricturesandobstruction
10.3969/j.issn.1002-1671.2019.03.028
- VernacularTitle:双J管置入术治疗下段输尿管狭窄和梗阻
- Author:
Liang ZHU
1
;
Xiquan ZHANG
;
Hongxue WANG
;
Jun ZHANG
;
Xuewen ZHANG
Author Information
1. 淄博市第四人民医院介入血管科
- Keywords:
ureteralstrictures;
guidewire;
doubleGJstent
- From:
Journal of Practical Radiology
2019;35(3):448-450,468
- CountryChina
- Language:Chinese
-
Abstract:
Objective Toevaluatetheinterventionaltherapeuticefficacyoflowerureteralstricturesandobstructionbyimplantation of"doubleGJ"stentsbytheguidewiretrackwithtwowaysjointofpercutaneousnephrocentesisandurethra.Methods 45caseswith malignanttumoroflowerureteralstrictureorobstructionweretreatedwithballooncatheterdilatation,andthenthe"doubleJ"tube wasimplantedusingpercutaneousnephrostomyandurethradoublepathguidedwireorbit.Postoperativeurinevolume,renalfunction, colordopplerultrasoundandCTfollowGupwereobservedandreviewedfor3－12monthsaftersurgery.Results Thesuccessfulrate oftheoperationwas100%(45/45),withtheureteralobstructionrelievedandtheclinicalsymptomsimproved.After7days,renal functionfullyrecoveredtonormalin39patients,andsignificantlyimprovedin6patients.Conclusion Implantationof "doubleGJ"stentsbytheguidewiretrackwithpercutaneousnephrocentesisandtransurethraldoublepathisasimple,effectiveandminimallyinvasive treatmentformalignantureteralstrictureandobstruction.
