输尿管镜术后留置支架管时间探讨  

Exploration on ureteroscopic postoperative indwelling stent time

作　　者：张志明[1] 李俊[1] 

机构地区：[1]什邡市人民医院泌尿外科,四川什邡618400

出　　处：《现代医药卫生》2013年第6期854-854,856,共2页Journal of Modern Medicine & Health

摘　　要：目的探讨输尿管镜碎石或探查术后留置输尿管支架管时间长短的不同表现。方法选择各种输尿管镜术后留置输尿管支架管约2周的93例患者(A组)与留置输尿管支架管约10 d的86例患者(B组),观察比较A、B组患者拔管前尿频、尿急、尿痛及肉眼血尿的变化。结果拔管前,A组患者中出现尿频、尿急、尿痛及肉眼血尿者分别为35、18例,B组患者中出现尿频、尿急、尿痛及肉眼血尿者分别为24、12例。两组患者拔管前出现尿频、尿急、尿痛及肉眼血尿例数比较,差异有统计学意义(P<0.05)。B组患者并没有因为置管时间缩短而出现其他不适的临床症状或并发症。结论对于多数输尿管镜术后留置支架管时间在10 d左右是安全的,通过减少支架管的留置时间可以较明显地降低患者术后尿频、尿急、尿痛及肉眼血尿的发生率。Objective To explore the different manifestations of different indwelling ureteral stent durations after ureteroscopic lithotrispy or exploratory surgery.Methods 93 cases（group A） of indwelling ureteral stents for 2 weeks and 86 cases（group B） of indwelling ureteral stent for 10 d after various ureteroscopic operations were selected.Frequent urination,urinary urgency,dysuria and gross hematuria before and after extubation were observed and compared between the two groups.Results Before removal of ureteral stent tubes,the symptoms of frequent urination,urinary urgency and dysuria and gross hematuria in the group A were 35 cases and 18 cases respectively,which in the group B were 24 cases and 12 cases respectively,the difference showing statistical significance（P0.05）.The patients with removal of stent tube in the group B did not appeard other discomfort clinical symptoms or complications due to the short indwelling ureteral stent duration.Conclusion For the vast majority of ureteroscopic postoperative indwelling stent,10 d indwelling time is safe.Reducing the stent indwelling time can significantly reduce the incidence rate of postoperative frequent urination,urinary urgency,dysuria symptoms and gross hematuria.

关 键 词：导管 留置 手术后期间 输尿管结石 治疗 输尿管镜 碎石术 引流术 支架 置管时间 

分 类 号：R691.4[医药卫生—泌尿科学]