摘要
目的评价输尿管良、恶性狭窄和梗阻通过经皮肾穿刺经尿道双途径球囊扩张并双"J"支架置入的治疗效果。方法 131例输尿管狭窄或梗阻患者,其中良性125例,恶性6例;采用经皮肾穿刺经尿道双途径球囊扩张并置入双"J"支架联合介入治疗方法,随访6个月至10年。结果良性输尿管狭窄和梗阻125例,成功123例,失败2例。恶性输尿管狭窄和梗阻6例,均获成功。治愈95例,占72.5%;好转34例,占26.0%;无效2例,占1.5%,总有效率98.5%。结论经皮肾穿刺经尿道双途径球囊扩张并双"J"支架置入联合介入治疗输尿管狭窄和梗阻,创伤小,并发症少,治疗效果显著。
Objective To evaluate the interventional therapeutic efficacy of uretericeric stricture or obstruction with joint of two ways. Methods One hundred and thirty-one patients with uretericeric stricture or obstruction were treated, 125 patients with benign uretericureteral stricture or obstruction and 6 patients with malignant ones. Crossing the ureteric urteral stricture or obstruction with a wire using a catheter by percutaneous pancture plevispuncture; the wire was snared and pulled out of uret-hra. ＂Bis-J＂ stent was implanted by the wire. Every patient was foil-owed up for 6-12 months after being removed the ＂Bis-J＂ stents. Results One hundred and twenty-five patients with benign ureteral stricture and obstruction were treated with stents in this way. It succeeded in 123 patients. Six patients with malignant ureteral stricture or obstructions were treated with stents successfully. Ninety-five patients were cured after the treatment, which was 72. 5% of the whole number, 34 patients mitigated, which was 26. 0% of the whole number, it was invalid on 2 patients, which was 1.5% of the whole number, the total rate of validity was 98.5% . Condusion Interventional ＂ Bis-J＂ stent by joint of two ways is effective in the treatment of ureteral stricture or obstruction with small wound and little side effects, easy and safe.
出处
《中华放射学杂志》
CAS
CSCD
北大核心
2007年第4期405-408,共4页
Chinese Journal of Radiology
