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目的探讨D-J管在泌尿外科诊疗中的应用。方法本组96例,男50例,女46例;年龄26～72岁,平均60.2岁。其中左肾静脉胡桃夹综合症1例,肾盂肿瘤9例,肾结石9例,输尿管结石59例,肾盂输尿管交界部狭窄9例,输尿管息肉6例,膀胱恶性肿瘤3例。输尿管镜下斑马导丝引导置入D-J管,膀胱镜下逆行置入双J管或者开放手术后置入,留置时间1～12周,平均4周。结果本组96例,漏尿2例,腰腹疼痛2例,血尿3例,其余89例恢复顺利,患者住院天数明显缩短。术后随访96例,KUB(腹部X线平片)+IVU(静脉肾盂造影)显示患肾功能良好,吻合口无狭窄梗阻,肾积水减轻或消失。结论D-J管支架作用便于输尿管镜下肾盂肿物的活检以确定性质及手术方案,内引流操作简便、引流效果好、并发症相对较少。对于肾盂肿瘤的定性诊断以及防止上尿路手术后漏尿和狭窄,术后病情恢复具有重要作用,同时患者住院天数明显缩短,减轻了痛苦,降低了住院费用,具有临床实用价值。
Objective To investigate the application of D-J tube in the diagnosis and treatment of urology. Methods The group of 96 patients, 50 males and 46 females; aged 26 to 72 years, mean 60.2 years old. One case of left renal vein Nutcracker syndrome, renal pelvis tumor in 9 cases, 9 cases of kidney stones, ureteral calculi in 59 cases, ureteropelvic stenosis in 9 cases, ureteral polyps in 6 cases, 3 cases of bladder cancer. Ureteroscopic guided zebra guide wire into the D-J tube, retrograde cystoscopy into double J tube or open surgery after implantation, indwelling time of 1 to 12 weeks, an average of 4 weeks. Results The group of 96 cases, 2 cases of leaking urine, 2 cases of lumbar pain, 3 cases of hematuria, the remaining 89 cases recovered smoothly, the patient hospitalized significantly shorter days. 96 patients were followed up, KUB (abdominal X-ray) + IVU (IVP) showed that patients with renal dysfunction, anastomotic stricture obstruction, hydronephrosis reduced or disappeared. Conclusion D-J stent facilitates the biopsy of ureteroscopic renal pelvis to determine the nature and surgical options. The internal drainage is simple, the drainage effect is good, and the complication is relatively small. For the qualitative diagnosis of renal pelvis tumors and to prevent leakage and stenosis after upper urinary tract surgery, postoperative recovery has an important role in the disease, at the same time patients significantly shorter hospital days, reduce pain and reduce hospitalization costs, with clinical practical value.