经尿道输尿管镜治疗结石梗阻性肾积脓手术配合  

Cooperation in Ureteroscopic Procedures in Treatment of Pyonephrosis Caused by Ureteral Stone Obstruction

作　　者：曹敏[1] 敬洁[1] 

机构地区：[1]四川省医学科学院四川省人民医院住院部手术室,成都610072

出　　处：《华西医学》2010年第6期1165-1166,共2页West China Medical Journal

摘　　要：目的总结应用输尿管镜治疗结石梗阻性肾积脓手术配合的经验。方法对2003年4月2007年12月因输尿管结石引起梗阻性肾积脓的27例患者行输尿管镜检查、气压弹道碎石、取石及留置双J管治疗的临床资料及手术配合进行回顾性分析。结果 27例患者中,1次取净结石24例;术后2周经体外震波碎石治愈2例;改行开放手术1例,术中无明显并发症。结论手术护士应熟悉操作步骤,密切配合医生手术。应用输尿管镜治疗结石梗阻性肾积脓具有疗效好、创伤小、安全可靠等优点。Objective To summarize the experiences of the cooperation of nurse in ureteroscopic procedures in the treatment of pyonephrosis caused by ureteral stone obstruction. Methods From April 2003 to December 2007,the data of 27 cases of pyonephrosis caused by ureteral stone obstruction were collected and the experiences of ureteroscopy,pneumatic lithotripsy and insertion of double ＂J＂ catheter were analyzed. Results Of the 27 cases,stones were removed completely in 24 cases; 1 case was changed to open operation and 2 cases were treated by extra-corporeal shock wave lithotripsy （ESWL） 2 weeks later. There was no complication during operation. Conclusion Ureteroscopic procedures with pyonephrosis caused by ureteral stone obstruction is considered to be micro-invasive,safe and effective and thus became the preferred treatment in recent years. At the same time,the operating time is short and the accurate manipulation is required. So the nurses of operating room should be very familiar with procedures and cooperate well with the operator.

关 键 词：输尿管镜 梗阻性肾积脓 结石 手术配合 

分 类 号：R472.3[医药卫生—护理学]