论文部分内容阅读
目的:探讨输尿管内留置双J输尿管支架管治疗肾积水的效果,分析无效的原因。方法:选择2005年-2011年期间,因各种原因致输尿管梗阻引起肾积水,顺行或逆行留置双J输尿管支架管治疗肾积水的患者118例,对其临床资料进行回顾性分析。结果:留置双J输尿管支架管可明显改善肾积水,良性组97肾中87肾(87.2﹪)及恶性组30肾中25肾(73.7﹪)肾积水得到明显改善;良性组无效10肾(12.8﹪),恶性组无效5肾(26.3﹪),良性组肾积水改善状况优于恶性组(p<0.05)。留置支架管时间及更换支架管次数比较,良性组与恶性组无显著性差异。结论:留置输尿管内双J输尿管支架管可明显改善肾积水,无效的原因主要为支架管阻塞、感染及下尿路梗阻。
Objective: To investigate the effect of ureteral double J ureteral stent in the treatment of hydronephrosis and to analyze the causes of the invalid. Methods: From 2005 to 2011, 118 patients with hydronephrosis due to ureteral obstruction and 118 patients with hydronephrosis treated by double J ureteral stenting were performed retrogradely or retrogradely. The clinical data were retrospectively analyzed. Results: Indwelling double J ureteral stent tube can significantly improve hydronephrosis, 87 benign renal tissue in 97 (87.2%) and malignant group of 30 renal 25 renal (73.7%) hydronephrosis was significantly improved; benign group invalid 10 kidney (12.8%), malignant group invalid kidney (26.3%), benign group hydronephrosis better than the malignant group (p <0.05). There was no significant difference between benign group and malignant group in the time of indwelling stent and the number of stent replacement. Conclusion: Indwelling ureter double J ureteral stent tube can significantly improve hydronephrosis, the main reason for the invalid stent tube obstruction, infection and lower urinary tract obstruction.