Abstract：
UNASSIGNED: To investigate the efficacy and safety of retrograde double J stent (RDJS) placement in the management of complicated obstructive uropathy caused by urolithiasis.
UNASSIGNED: An observational study done at a tertiary center was implemented in which a total of 27 patients (10 males, 17 females) with average age of 48.74 years (range: 15-88) who underwent RDJS or percutaneous nephrostomy (PCN) between 2017 and 2021 due to complicated obstruction caused by urolithiasis were included.
UNASSIGNED: A total of 27 patients (10 males, 17 females) with average age of 48.74 years (range: 15-88) who underwent kidney decompression between 2017 and 2021 due to complicated unilateral or bilateral kidney obstruction caused by ureteral stones were included. Twenty-two patients (81.48%) underwent successful RDJS placement, two patients had RDJS placement then PCN was also placed, and two patients underwent PCN placement. Three patients needed an intensive care unit \"ICU\" after intervention, two of them were in the ICU before intervention. All septic parameters were normalized within a short period postoperatively. Two patients with failed previous ureteroscopy had a successful RDJS placement.
UNASSIGNED: Retrograde DJS placement is a feasible option in the management of complicated cases of obstructive uropathy caused by urolithiasis. Short hospitalization period, low rate of complications and better quality of life are the most prominent advantages of RDJS placement. In the hands of experienced surgeons, RDJS should be offered as the first choice of decompression for obstructive uropathy caused by urolithiasis.
UNASSIGNED: An observational study done at a tertiary center was implemented in which a total of 27 patients (10 males, 17 females) with average age of 48.74 years (range: 15-88) who underwent RDJS or percutaneous nephrostomy (PCN) between 2017 and 2021 due to complicated obstruction caused by urolithiasis were included.
UNASSIGNED: A total of 27 patients (10 males, 17 females) with average age of 48.74 years (range: 15-88) who underwent kidney decompression between 2017 and 2021 due to complicated unilateral or bilateral kidney obstruction caused by ureteral stones were included. Twenty-two patients (81.48%) underwent successful RDJS placement, two patients had RDJS placement then PCN was also placed, and two patients underwent PCN placement. Three patients needed an intensive care unit \"ICU\" after intervention, two of them were in the ICU before intervention. All septic parameters were normalized within a short period postoperatively. Two patients with failed previous ureteroscopy had a successful RDJS placement.
UNASSIGNED: Retrograde DJS placement is a feasible option in the management of complicated cases of obstructive uropathy caused by urolithiasis. Short hospitalization period, low rate of complications and better quality of life are the most prominent advantages of RDJS placement. In the hands of experienced surgeons, RDJS should be offered as the first choice of decompression for obstructive uropathy caused by urolithiasis.
摘要：
■探讨逆行双J型支架（RDJS）在治疗由尿路结石引起的复杂梗阻性尿路病变中的疗效和安全性。
■在三级中心进行了一项观察性研究，其中共有27名患者（10名男性，包括17名女性），平均年龄48.74岁（范围：15-88岁），由于尿石症引起的复杂梗阻，在2017年至2021年期间接受了RDJS或经皮肾造口术（PCN）。
■共有27名患者（10名男性，包括17名女性），平均年龄48.74岁（范围：15-88岁），由于输尿管结石引起的复杂的单侧或双侧肾梗阻而在2017年至2021年期间接受了肾脏减压。22例患者（81.48%）成功进行了RDJS安置，两名患者进行了RDJS放置，然后也进行了PCN放置，两名患者接受了PCN放置。三名患者干预后需要重症监护室“ICU”，其中两人在干预前进入ICU.所有脓毒症参数在术后短时间内恢复正常。两名先前输尿管镜检查失败的患者成功放置了RDJS。
■逆行DJS放置是治疗由尿路结石引起的梗阻性尿路病复杂病例的可行选择。住院时间短，并发症发生率低、生活质量好是RDJS置入术最突出的优势。在经验丰富的外科医生手中，RDJS应作为尿路结石引起的梗阻性尿路病变的首选减压方法。
■在三级中心进行了一项观察性研究，其中共有27名患者（10名男性，包括17名女性），平均年龄48.74岁（范围：15-88岁），由于尿石症引起的复杂梗阻，在2017年至2021年期间接受了RDJS或经皮肾造口术（PCN）。
■共有27名患者（10名男性，包括17名女性），平均年龄48.74岁（范围：15-88岁），由于输尿管结石引起的复杂的单侧或双侧肾梗阻而在2017年至2021年期间接受了肾脏减压。22例患者（81.48%）成功进行了RDJS安置，两名患者进行了RDJS放置，然后也进行了PCN放置，两名患者接受了PCN放置。三名患者干预后需要重症监护室“ICU”，其中两人在干预前进入ICU.所有脓毒症参数在术后短时间内恢复正常。两名先前输尿管镜检查失败的患者成功放置了RDJS。
■逆行DJS放置是治疗由尿路结石引起的梗阻性尿路病复杂病例的可行选择。住院时间短，并发症发生率低、生活质量好是RDJS置入术最突出的优势。在经验丰富的外科医生手中，RDJS应作为尿路结石引起的梗阻性尿路病变的首选减压方法。
