上尿路取石术后内、外引流方式的比较  

Comparison between internal stent and external stent drainage for upper urinary lithotomy

作　　者：郭松林[1] 张书贤 李万峰 喻斌 殷传开 杜广辉[3] 叶章群[3] 

机构地区：[1]皖南医学院附属第二医院泌尿外科 [2]平顶山市第二人民医院泌尿外科 [3]同济医科大学附属同济医院泌尿外科

出　　处：《临床泌尿外科杂志》2000年第3期102-103,共2页Journal of Clinical Urology

摘　　要：目的 :比较上尿路取石术后置内支架引流与外支架引流的优劣。方法 :回顾性调查上尿路取石术后双 J管内引流 46例和外引流 52例的术后恢复及并发症情况 ,并进行统计学处理。结果 :内引流组术后住院天数及腹膜后引流天数明显低于外引流组 ( P <0 .0 1 ) ,术后并发症总发生率内引流组 ( 1 2 .76% )也明显低于外引流组 ( 2 8.85% )。结论 :上尿路取石术后置内引流优于外引流 ,但在肾功能不良、出血较多、下尿路有梗阻和感染时置外引流或同时置内、外引流更为安全可靠。Purpose:To assess the advantage of urine drainage by double J ureteral stent or by percutaneous indwelling stent for upper urinary lithotomy. Methods: The therapeutic effect of 46 patients with internal stent and 52 with external stent for upper urinary lithotmy were analysed retrospectively. Results: Hospitalized course and duration of retroperitoneal indwelling in the internal drainage group was notably less than those in the external drainage group. The total postoperative complication rate in the internal drainage group was also remarkably lower than that of the external drainage group. Conclusions: It is suggested that double J stent is more effective and safer than percutaneous indwelling stent. However, Percutaneous indwelling stent or both used simultaneously will be more safer in the condition of renal insufficiency, obstruction of lower urinary and inflammation.

关 键 词：引流术 上尿路结石 取石术 

分 类 号：R693.405[医药卫生—泌尿科学]