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題名 | 膀胱灌注染色劑以確定手術中置放雙J型輸尿管導管=Intravesical Dye Instillation for Confirmation of Right Position of Intraoperative Double-J Stenting |
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作者 | 周以和; 陳明潭; 黃俊雄; | 書刊名 | 中華民國泌尿科醫學會雜誌 |
卷期 | 9:1 1998.03[民87.03] |
頁次 | 頁18-20 |
分類號 | 416.274 |
關鍵詞 | 膀胱灌注染色劑; 雙J型輸尿管導管; Intravesical dye instillation; Double-J stent; |
語文 | 中文(Chinese) |
中文摘要 | 輸尿管手術的患者於手術中置放輸尿管導管可幫助傷口吻合及復原,置放後確定 此管是否放入膀胱內,傳統上須做放射線或膀胱鏡檢查,花費較多人力及設備。本研究採用 新方法,在放完輸尿管導管後,由術前留置的經尿道膀胱導尿管內,灌入稀釋的染劑(patent blue)於膀胱內,若手術者由手術切口觀察到稀釋之染液外滲,即表此管已置放於膀胱中, 本研究以此法施行於7例手術中,術後追蹤全部成功,認為此為一簡單方便且有效的方法。 |
英文摘要 | The need for intraoperative double-J ureteral stenting has been reviewed in several articles. A stent serves to align the area of anastomosis, prevent extravasation by diverting the uring past the anastomosis, and alleviate obstruction from postopertive edema. At the time of surgery, ureteral stents are placed from the operative wound. Traditionally, the proper position of the stent in the urinary bladder is confirmed by radiological examination or direct visualization of cystoscopy. It is time-consuming and sometimes cumbersome. We describe an alternative method for confirmation of intraoperative double-J stenting. Diluted patent blue was instillated from the urethral foley catheter to the urinary bladder after intraoperative double-J stenting. If the catheter is properly positioned in the urinary bladder, the fluid with will diluted dye be visible in the operative wound. The procedure was undertaken in 7 cases without difficulty. Our results confirm this is a simple and effective method. |
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