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作者5年中用双猪尾式支架管治疗21例上尿路漏尿,获得满意效果。病人年龄12～60岁(平均42岁),20例由手术引起,1例为腹部闭合性外伤所致,12例尿漏到体外,9例尿积存于肾或输尿管周围,经皮肾穿刺颀行放置F7双猪尾式支架管10例,经原有的肾造瘘放置6例,14例成功,失败的2例中,1例于2天后逆行置管成功,另1例单纯行肾造瘘引流,漏尿管停止。但形成输尿管狭窄,需切除吻合,逆行放置双猪尾式导管6例均获成功,损伤到放支架管的时间5～28天(平均8天),20例放支架管成功的病人中.19例4天即停止漏尿,1例有前列腺增生,置管后漏尿增加,尤其在用力排尿时更是如此,可能由于虹吸作用使膀胱内的尿液经双猪尾导管流向患侧,留置气囊导尿管2天后漏尿停止,平均6天(安放支架管后)即可出院,拔除双猪尾导管时
The authors treated double-pigtail stent-graft in 21 cases of upper urinary tract leakage in 5 years, with satisfactory results. The patients were 12 to 60 years of age (average 42 years), 20 were caused by surgery, 1 was caused by a closed abdominal trauma, 12 were excreted in the urine, 9 were found to accumulate in the kidney or ureter, and percutaneous nephrostomy Row placement of F7 double pigtail stent tube in 10 cases, the original placed nephrostomy in 6 cases, 14 cases of failure, 2 cases of failure, 1 case retrograde tube after 2 days of success, and the other 1 case of simple renal nephrostomy Drainage, leakage catheter stop. However, the formation of ureteral stricture, resection and anastomosis, retrograde placement of double pigtail catheter in 6 cases were successful, the injury to the stent tube for 5 to 28 days (an average of 8 days), 20 cases of stent graft in patients with successful 4 days to stop leakage of urine, 1 case of benign prostatic hyperplasia, catheter leakage increased, especially when forced urination even more so, may be due to the role of siphon so that urine within the bladder through the dual pig tail catheter flow to the affected side, indwelling balloon guide Urine catheter leakage after 2 days, an average of 6 days (stent stent placement) to discharge, removal of double pigtail catheter