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目的:探讨输尿管内双J管拔除困难的原因及临床防治方法。方法:回顾分析我院14例双J管拔管困难患者的临床资料,针对不同情况,选择应用输尿管镜、经皮肾镜等技术进行处理。结果:14例患者均顺利拔管,未见严重并发症。结论:正确置入双J管、建立完善告知及随访制度是预防双J管拔管困难的关键措施。对于拔管困难者,一定要查明其原因,联合应用多种手段,以达到微创处理的目的。
Objective: To investigate the reasons and clinical prevention and treatment of double J tube removal in ureter. Methods: The clinical data of 14 patients with double-J tube extubation in our hospital were retrospectively analyzed. According to the different conditions, ureteroscopy and percutaneous nephrolithotomy were selected for treatment. Results: All 14 patients successfully extubated, no serious complications. Conclusion: Correct placement of double J tube and establishment of perfect notification and follow-up system are the key measures to prevent extubation of double J tube. For extubation difficulties, we must identify the reasons for the joint use of a variety of means to achieve the purpose of minimally invasive treatment.