双J管拔管困难的原因分析及预防(附5例报告)

摘要

Objective To investigate causes and prevention measures of difficult decannulation for double J ureteral catheter (ureteral stent tube).Methods Clinical data of 5 cases with difficult decannulation for double J ureteral catheter were retrospectively analyzed. Ureteroscope and lithotripsy were applied in different conditions. Results All the 5 cases received successful decannulation, without any severe complications.Conclusion Correct intubation of double J ureteral catheter is necessary. Clarifying causes of ifficult decannulation, combining with multiple measures are all needed for minimally invasive operation.%目的 探讨输尿管内双J管(输尿管内支架管)拔除困难的原因及预防处理对策.方法 回顾分析5例双J管拔出困难患者的临床资料, 针对不同情况, 选择应用输尿管镜、大力碎石等技术进行处理.结果 5例患者均顺利拔管, 未见严重并发症.结论 正确置入双J管, 对于拔管困难者, 一定要查明原因, 联合应用多种手段, 以达微创处理的目的 .