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目的 评价采用介入法逆行置入双“J”管治疗输尿管狭窄的疗效。方法 对 2 0例不同部位、不同病因的输尿管狭窄患者采用介入法逆行置入双“J”管进行治疗。结果 全部病例采用介入法逆行置入双“J”管均获得成功 ,置管成功率为 10 0 %。治愈率为 90 %。疼痛、尿漏、伤口感染和出血等并发症显著减少 ,针对置管后对上尿路的影响 ,置管的适应证 ,置管引流的时间和并发症进行了讨论。结论 采用介入法逆行置入双“J”管治疗输尿管狭窄具有操作简单、创伤小、并发症少等优点 ,为治疗输尿管狭窄的一种安全、有效的方法。
Objective To evaluate the efficacy of retrograde double “J” tube in the treatment of ureteral stricture by interventional method. Methods Twenty cases of ureteral stricture with different etiologies and causes were retrospectively treated with double “J” tubes. Results All cases were retrogradely inserted into double “J” tubes by interventional method, and the success rate of catheterization was 100%. The cure rate is 90%. The complications such as pain, urinary leakage, wound infection and bleeding were significantly reduced. The effects on the upper urinary tract after catheterization, the indications for catheterization, the timing and complications of catheter drainage were discussed. Conclusion The retrograde insertion of double “J” tube by interventional method has the advantages of simple operation, less trauma and less complications, which is a safe and effective method for the treatment of ureteral stricture.