- 期刊
Experience in the Morbidity Associated with Double-J Catheter Indwelling and Its Management
放置雙J型輸尿管內導管的併發症狀及其處置經驗
摘要
以放置內置性輸尿管導道來做內部尿液分流與預防泌尿系統手術的併發症，已是被確定的方法。但是導管留置所引起的病患不適感與合併症亦偶有報告。 本研究以255位曾放置內置性輸尿管導管，之後又拔除的患者，分析其於導管留置時的併發症狀與處置方法。結果發現，因導管放置所產生的刺激症狀，如頻尿(42.0%)，血尿(41.6%)，恥骨上疼痛(20.4%)，排尿時腰痛(17.3%)，與小便疼碟(16.9%)佔最多數病人主訴症狀。此外，較嚴重的併發症，如導管移位、結石鑲嵌、腎盂腎炎、導管斷裂、疼痛無法忍受以及集尿系統穿破等，亦偶觀察到。這些較嚴重的併發症一旦發生，會增加病患的處理續發性問題機會。 使用雙J型輸尿管內導管，雖然在減少泌尿系統併發症上很有幫忙，但也產生相當程度的病患不適與可能的續發問題。在雙J型輸尿管內導管應用上，需特別注意這些麻煩的情的預防，而一旦產生了這些情況時，更需及早治療。
關鍵字
無資料並列摘要
Placement of internal ureteral stents for interal urinary diversion and prevention of urological complications had been well established. However, indwelling stents have occasionally been associated with patient morbidity and intolerance. A total of 255 patients while the internal ureteral stent had been used were analyzed. The symptoms including urinary frequency (42.0%), hematuria (41.6%) and suprapubic pain (20.4%), loin pain (17.3%) and micturition pain (16.9%) accounted for the major complaints of the stent indwelling patients. The major complications, i.e. stent migration, heavy encrustaion, pyelonephritis, fragmentation, intolerence and penetration of collecting structure, were occasionally observed. These complications increase morbidity in patients. The double-J stents should be used carefully with regard to the prevention and treatment of untoward conditions as early as possible.