60岁的安岳县老人邹宏(化名)近日因腰痛到医院检查，发现双肾功能都重度受损，再进一步发展就将演变为尿毒症。导致疾病的凶手，除了左肾、输尿管的结石外，还有一截已经在邹爷爷腹中“埋”了七年之久的输尿管支架！因为长时间的沉淀，这条长达28cm的支架，已经完全被结石包覆，成为一根硬邦邦的“水泥管”。

At the age of 60 ZouHong AnYueXian old man(alias)Recently for lumbago to the hospital the examination,Find double kidney are severely damaged,Further development will evolution for uremia.The murderer of lead to disease,In addition to the left renal/Ureteral calculi outside,A section has been in zou grandpa belly"buried"Seven years of the ureteral stents!For a long time of precipitation,This article for 28 cm support,Had been stone coating,Become a piece of hard"Cement pipe".

不痛不痒 perfunctory

老人为省钱不取支架 The old man to save money don't take support

　　7年前，邹宏在成都一家医院接受了结石取出手术。术后，为了防止输尿管狭窄，医生在其中安放了一截用于支撑的支架。在术后恢复一段时间后，邹宏应该到医院把输尿管支架取出。“不痛不痒，没觉得任何不舒服。”由于之前结石手术已经花去儿女一笔钱，为了不再给孩子们添负担，他决定不去医院取支架。

Seven years ago,ZouHong a hospital in chengdu accepted stones take out operation.the,In order to prevent ureteral stricture,The doctor put in it a sectional designed to support the support.In the postoperative recovery after period of time,ZouHong should go to the hospital to take out of ureteral stents."perfunctory,Don't feel any discomfort."Due to the stone before surgery has take children a sum of money,No longer to give children more burden,He decided not to go to a hospital take support.

　　不料1个月前，邹宏腰部病状就出现了。

Only one month ago,ZouHong waist symptoms appear.

长满结石 Stone with

“水泥管”支架坏双肾 "Cement pipe"Support bad double kidney

　　“左边的结石和右侧的支架堵塞了两边的输尿管，让双肾出现重度积水。”市三医院泌尿外科医生熊黎强称，再往下发展将成为尿毒症。

"To the left of the stones, and on the right side of the support blocked on both sides of the ureter,Let double kidney appear severe water."City three hospital uropoiesis surgical department doctor XiongLi strong says,Then to development will become uremia.

　　“时间太久，支架已经断成了两截。”熊医生称，上半截支架处于右肾附近，下半截支架则在膀胱附近。首先，医生在输尿镜及异物钳的帮助下，将下半截支架经尿道取出；之后，医生又在邹宏的右腰上打了一个直径0.8cm的开口，用异物钳夹住上半截的残留支架，最终经可撕脱鞘将其顺利取出。

"Time is too long,Support has been broken into 2 sections."Bear doctors say,The head support in near right kidney,They support the bladder is near.First of all,The doctor lost in urine mirror and foreign body under the help of the forceps,They will support transurethral take out;after,The doctor again in ZouHong right on the waist a diameter of 0.8 cm openings,With foreign body clamps live at the top of the residual support,Finally the can avulsed sheath will make it out.

特别提醒 Special remind

结石术后不取支架可致癌 Stone postoperative don't take support can cause cancer

　　取出来的支架总长度达到28cm、周径6mm，因为长时间滞留，支架外侧被包覆了厚厚一层结石。原本柔软的支架管，变成了硬邦邦的“水泥管”，成为堵塞输尿管差点导致右肾报废的凶手。

Take out to support total length to 28 cm/Week 6 mm diameter,Because of long time retention,The lateral support was enshrouded the thick layer of calculus.Originally soft support tube,Become stiff"Cement pipe",Become blocked ureteral came close to right kidney scrapped the murderer.

　　“一定要遵照医嘱定时拔管。”市三医院泌尿科主任李强特别提醒，输尿管支架在体内留置时间一般为1个月左右，最长不超过半年。若长时间留在体内，管壁周围容易长结石、发生断裂，导致小便困难、尿血、尿路感染等情况。此外，支架在体内反复摩擦，还可能会导致患者癌变。留置输尿管支架的患者应多饮水、不憋尿、避免长时间活动，在出现明显血尿、出血、腰痛等症状时及时入院。(记者 李诗敏)

"Must follow the doctor's order timing tube drawing."City three hospital urology director li qiang special remind,Ureteral stents indwelling time general in the body for a month or so,The longest do not exceed half a year.If long time in the body,Wall surrounding easy long stone/breaking,Lead to urinate difficult/hematuria/Urinary tract infection, etc.In addition,Support in the body and friction,May result in cancer patients.Lien ureteral stents in patients should drink lots of water/Don't suppress urine/Avoid long time activities,In the visible hematuria/bleeding/Waist pain when the symptom such as in time to the hospital.(Reporter LiShiMin)