通过导线技术的安全性和有效性,用于尿管双J支架的放置
Cheng Shi Chen1, Chu Hui Zeng2, Ji Hoon Shin3
1Cheng Shi Chen, MD Department of Radiology, Department of Medical Imaging, Changsha Medical University, Changsha, China.
Pakistan journal of medical sciences
|October 17, 2024
概括
穿过电线 (TTW) 技术在标准方法失败时,为尿管双J支架安置提供了安全有效的解决方案. 这种方法在难以进入尿路的患者中取得了100%的技术成功.
科学领域:
- 泌尿器科 泌尿器科 泌尿器科 泌尿器科
- 最少侵入性的手术
背景情况:
- 尿道支架的放置对于管理尿路阻塞至关重要.
- 在复杂的狭窄或解剖缺陷的情况下,标准的前级和后级技术可能会失败.
- 需要使用替代方法来确保成功安置支架.
研究的目的:
- 评估穿过电线 (TTW) 技术的有效性和安全性.
- 在传统尝试失败后,评估TTW用于预先安装双J支架.
主要方法:
- 对8名接受TTW支架安置的患者的回顾性分析 (2016年1月至2023年2月).
- 症状包括无法将导管/支架推向导线,导线谈判失败或尿管皮层结节缺陷.
- TTW途径包括穿皮性瘤切除 (PCN) 到尿道孔/骨髓切除囊或双边PCN之间.
主要成果:
- 在8名具有挑战性尿路接入的患者中,采用了TTW技术.
- 在所有情况下,双J支架安置的技术成功率为100%.
- 在手术后没有报告重大或轻微的并发症.
结论:
- 穿过电线 (TTW) 技术是一种安全有效的选择.
- 当其他方法失败时,TTW可促进成功安装双J支架.
- 这种技术为复杂的尿路接入病例提供了有价值的替代方案.
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