上尿路手术术后双J管滞留的原因与腔镜处理体会  

The Cause of Urinary Double J Tube after Surgery and Endoscopic Treatment Retention Appreciate

作　　者：黄世昌[1] 

机构地区：[1]田东县人民医院,广西田东531500

出　　处：《中外医学研究》2014年第7期119-120,共2页CHINESE AND FOREIGN MEDICAL RESEARCH

摘　　要：目的:为了进一步提高上尿路手术术后双J管滞留的难题,分析和研究通过尿道行输尿管镜拔管术的可行性。方法:将2008年5月-2013年5月来笔者所在医院泌尿外科因上尿路手术术后双J管滞留住院的40例患者随机分为治疗组和观察组,每组20例,其中治疗组应用输尿管镜及相关的器物钳取出双J管,而观察组通过手术取出双J管,分析双J管滞留的并发症及处理办法。结果:治疗组并发症发生率明显少于观察组,且两组比较差异有统计学意义(P<0.05)。结论:只要正常掌握双J管置入技术和熟悉患者尿路解剖,可以通过输尿管镜取出滞留的双J管,效果显著,并发症少,值得临床推广。Objective：To further improve the feasibility of post-operative urinary retention double J tube problem,so through the urethra ureteroscopy surgery extubation to be analyzed and studied.Method：From May 2008 to May 2013,our hospital urology surgery on the urinary tract due to the double J tube stranded hospitalized patients were randomly divided into treatment group and observation group,20 cases in each group;Among treatment group applications and related artifacts pliers to remove the double J tube,and observation group observed double J tube removed through surgery,double J tube stranded complications and approach were analyzed.Result：The incidence of complication was significantly less than in observation group,and the difference was statistically significant（P〈0.05）.Conclusion：As long as a normal master double J tube into the patient urinary tract anatomy and familiarity with technology,can remove stranded double J tube by ureteroscopy,the effect is significantly less complications,is worthy of promotion.

关 键 词：上尿路手术 双J管滞留 腔镜处理 

分 类 号：R699[医药卫生—泌尿科学]