Use of percutaneous nephrostomy and ureteral stenting in management of ureteral obstruction.
Use of percutaneous nephrostomy and ureteral stenting in management of ureteral obstruction.
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DOI：
10.5527/wjn.v5.i2.172
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发表时间：
2016-03-06
期刊：
影响因子：
--
通讯作者：
Sammon, Jesse
中科院分区：
文献类型：
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作者：
Hsu, Linda;Li, Hanhan;Sammon, Jesse
输尿管梗阻的治疗选择多种多样，包括逆行输尿管支架置入或顺行肾造口置入，最终可置入或不置入顺行支架。目前，输尿管梗阻的理想治疗或治疗途径尚未达成共识，部分原因是梗阻的病因多样，以及机构实践的多样性。此外，不同的临床医生，如内科医生、泌尿科医生、肿瘤科医生和放射科医生经常参与输尿管梗阻患者的护理，并且可能对最佳管理策略有不同的意见。这篇文章的目的是回顾现有的文献，比较经皮肾造口置入与输尿管支架置入治疗输尿管梗阻的良性和恶性病因。
The management options for ureteral obstruction are diverse, including retrograde ureteral stent insertion or antegrade nephrostomy placement, with or without eventual antegrade stent insertion. There is currently no consensus on the ideal treatment or treatment pathway for ureteral obstruction owing, in part, to the varied etiologies of obstruction and diversity of institutional practices. Additionally, different clinicians such as internists, urologists, oncologists and radiologists are often involved in the care of patients with ureteral obstruction and may have differing opinions concerning the best management strategy. The purpose of this manuscript was to review available literature that compares percutaneous nephrostomy placement vs ureteral stenting in the management of ureteral obstruction from both benign and malignant etiologies.