Отдаленные результаты эндопротезирования мочеточника нитиноловыми стентами


Цитировать

Полный текст

Аннотация

Ureteral endoprosthesis results are presented for 22 patients (9 males and 13 females) with long strictures of the upper urinary tract (UUT). Stenosis was caused by rectal tumor in 2 patients, by cancer of the uterine cervix in 5 patients. In a female with Burneville-Pringle disease metallic prosthesis was set in the pyeloureteral segment (PUS) of the solitary right kidney. Six patients had long strictures of the abdominal part of the ureter, 4 had PUS strictures, 3 - of the ureter of the transplanted kidney and 1 had stricture of ureterocalicoanastomosis after Neivert operation. Endoprosthesis was established by a retrograde approach in 13 cases, via percutaneous antegrade approach - in 9 cases. In postoperative period 2 patients had exacerbation of chronic pyelonephritis, they received anti-inflammatory treatment. Patancy of the ureter was reestablished in all the cases and persisted for all the follow-up period (4-62 months). Late after operation a patients with Burneville-Pringle disease developed UUT obstruction because of ureteral compression by enlarged angiolipomatous nodes under endoprosthesis. Therefore, one more nitinol stent was set in the upper third of the right ureter retrogradely. Thus, ureteral endoprosthesis in long and recurrent strictures of the ureter, ineffective plastic surgery on the UUT is an operation of choice.

Об авторах

Б К Комяков

Санкт-Петербургская государственная медицинская академия им. И. И. Мечникова

профессор, зав. кафедрой урологии; Санкт-Петербургская государственная медицинская академия им. И. И. Мечникова

Б Г Гулиев

Санкт-Петербургская государственная медицинская академия им. И. И. Мечникова

доктор мед. наук, ассистент кафедры урологии; Санкт-Петербургская государственная медицинская академия им. И. И. Мечникова

Р А Серов

Санкт-Петербургская государственная медицинская академия им. И. И. Мечникова

аспирантКафедра урологии; Санкт-Петербургская государственная медицинская академия им. И. И. Мечникова

B K Komyakov

B G Guliev

R A Serov

Список литературы

  1. Карев А. В., Рыжков В. К., Петрова С. Н., Борисов А. Е. Новый стент из мононити в создании чрескожного чреспеченочного портосистемного соустья. Вестн. рентгенол. 2003; 5: 40-42.
  2. Borsa J. J., Fontaine A. B., Hoffer E. K. et al. Retrospective comparison of the patency of Wallstent and Palmaz long-medium stent used for TIPS. Cardiovasc. Intervent. Radiol. 1994; 191: 177-181.
  3. Coons H. G. Self-expanding stainless steel biliary stents. Radiology 1989; 170: 979.
  4. Sigwart U., Puel J., Mirkovitch B. et al. Intravascular stents to prevent occlusion and restenosis after transluminal angioplasty. N. Engl. J. Med. 1987; 316: 710.
  5. Ponholzer A., Marszalek M., Madersbacher S. Minimally invasive treatment of BPH: an update. Eur. Urol. Suppl. 2004; 2 (1): 24-43.
  6. Van Dijk M., Mochtar C., Laguna P. et al. The use of a nitinol thermo-expandable bell-shaped prostatic stent in benign prostatic hyperplasia (BPH): a feasibility study. Eur. Urol. Suppl. 2004; 3 (2): 142.
  7. Daniels G. F., Dake M. D., Wexler L. et al. Use of metal stents for treatment of benign ureteral and ureteroenteric strictures. In: Radiological Society of North America Meeting: Abstracts. Chicago; 1992.
  8. Thijssen A. M., Millward S. F., Mai K. T. Ureteral response to the placement of metallic stents: an animal model. J. Urol. (Baltimore) 1994; 151: 268-270.
  9. Комяков Б. К., Гулиев Б. Г. Эндопротезирование мочеточника. Урология 2006; 3: 50-53.
  10. Barbalias G. A., Siablis D., Liatsikos E. N. et al. Metal stents: a new treatment of malignant ureteral obstruction. J. Urol. (Baltimore) 1997; 158 (1): 54.
  11. Barbalias G. A., Liatsikos E. N., Karnabatidis D. et al. Ureteroileal anastomosic strictures: an innovative approach with metallic stents. J. Urol. (Baltimore) 1998; 160: 1270.
  12. Barbalias G., Liatsikos E., Kagadis G. C. et al. Ureteropelvic junction obstruction: an innovative approach combining metallic stenting and virtual endoscopy. J. Urol. (Baltimore) 2002; 168: 2383-2386.
  13. Lopez-Martinez R. A., Singireddy S., Lang E. K. The use of metallic stents to bypass ureteral strictures secondary to metastatic prostate cancer: experience with 8 patients. J. Urol. (Baltimore) 1997; 158 (1): 50.
  14. Palascak P., Bouchareb M., Zachoval R. et al. Treatment of ureteroenteric anastomotic strictures with permanent ureteral Wallstents after Camey and Wallace urinary diversion: long-term follow-up. Eur. Urol. 2001; 39 (5): 86.
  15. Burgos F. J., Linares A., Gomez V. et al. Efficacy of self-expanding metallic stents for treatment of ureteral obstruction. Eur. Urol. 2001; 39 (5): 86.
  16. Reinberg Y., Ferral H., Gonzalez R. et al. Intraureteral metallic self-expanding endoprosthesis (Wallstent) in the treatment of difficult ureteral strictures. J. Urol. (Baltimore) 1994; 151: 1619-1622.
  17. Мартов А. Г., Ергаков Д. В., Ларионов И. Н., Голубев М. Ю. Комбинированное лечение папиллярных опухолей лоханки и мочеточника единственной почки в сочетании с эндопротезированием мочеточника. Урология 2005; 5: 62- 64.
  18. Lugmayr H., Pauer W. Self-expanding metal stents for palliative treatment of malignant ureteral obstruction. Am. J. Roentgenol. 1992; 159: 1091.
  19. Burgos R. J., Peres P., Arias F. et al. Renal autotransplantation: an alternative after metallic ureteral stent incrustation. Eur. Urol. Suppl. 2004; 3 (2): 227.
  20. Liatsikos E., Karnabatidis D., Kagadis G. C. et al. Application of Paclitaxel-Eluting metal mesh stents within the pig ureter: an experimental study. Eur. Urol. 2007; 51: 217-223.

Дополнительные файлы

Доп. файлы
Действие
1. JATS XML
Скачать

© ООО «Бионика Медиа», 2009