尿道表面麻醉下输尿管镜气压弹道碎石术的术中监测和护理  

Monitoring and nursing in the operation of ureteroscopy pneumatic lithotripsy under urethra superficial anaesthesia

作　　者：栾华[1] 方向红[1] 李惠琼[1] 温灵[1] 

机构地区：[1]广东医学院附属深圳市第四人民医院泌尿外科,广东深圳518033

出　　处：《吉林医学》2006年第8期899-900,共2页Jilin Medical Journal

摘　　要：目的:探讨尿道表面麻醉下输尿管镜下气压弹道碎石术的护理特点。方法:采用尿道表面麻醉下直接进镜法对86例输尿管中下段结石患者进行输尿管镜气压弹道碎石和取石治疗及护理。结果:86例患者中经输尿管镜一次碎石、取石77例,成功率89.5%。86例患者术后均出现不同程度的血尿,肾绞痛15例,均在保守治疗和适当护理后缓解消失。结论:表面麻醉下输尿管镜下气压弹道碎石和取石是一种简单易行、经济高效的治疗方法。护理对预防术后并发症极其重要,可提高取石成功率,减少患者痛苦,术后恢复快。Objective To study the nursing characteristic of ureteroscopy pneumatic lithotripsy under superficial anaesthesia. Method 86 cases of ureteral stone in middle or lower segment were treated with ureteroscopy pneumatic lithotripsy under urethra superfical anaesthesia and stones were taken out entirely. Appropriate nursing were given immediately. Results Stones in 77 out of 86 cases were successfuUy taken out by once ureteroscopy pneumatic lithotripsy and the successful rate was 89.5%. 86 cases showed hematuria at different degree after operation and nephritic colic occurred in 15 cases. These complications were relieved and disappeared after conservative treatment and appropriate nursing. Conclusion Ureteroscopy pneumatic lithotripsy under superficial anaesthesia has been a safe, economic and effective way in treating uretal stone. Nursing is very important in preventing complications after operation.It can improve the successful rate, relieve patients suffering and help them recover quickly.

关 键 词：尿道表面麻醉 输尿管镜 碎石术 护理 

分 类 号：R472.3[医药卫生—护理学]