预置双J管对肾结石输尿管软镜碎石术并发症影响  

EFFECT OF PREOPERATIVE PLACEMENT OF DOUBLE-J URETERAL CATHETER ON COMPLICATIONS OF FLEXIBLE URETEROSCOPIC LITHOTRIPSY FOR KIDNEY STONES

作　　者：韩登俊[1] 梁勇[1] 陈炜[1] 曾翔[1] 林圩[1] HAN Dengjun;LIANG Yong;CHEN Wei;ZENG Xiang;LIN Wei(Department of Urogy, Fourth People＇s Hospital of Zigong City, Zigong 643000, Chin)

机构地区：[1]自贡市第四人民医院泌尿外科,四川自贡643000

出　　处：《齐鲁医学杂志》2017年第5期587-589,共3页Medical Journal of Qilu

摘　　要：目的探讨预置双J管对输尿管软镜碎石术治疗肾结石并发症发生的影响。方法行输尿管软镜碎石术的肾结石病人218例,根据术前是否留置双J管分为预置组(131例)及常规组(87例),对两组病人手术时间、术后住院时间及并发症发生情况进行比较。结果两组病人手术时间、术后住院时间、输尿管鞘置入不成功、输尿管损伤、术中出血、术后血尿、尿源性脓毒血症、石街形成、肾内结石残留发生情况比较,差异有显著性(t=7.19、6.18,χ~2=4.26~9.39,P<0.05)。结论输尿管软镜碎石术前预置双J管可明显减少手术时间、术后住院时间及并发症的发生。Objective To investigate the effect of preoperative placement of double-J ureteral catheter on complications of flexible ureteroscopic lithotripsy for kidney stones.Methods A total of 218 patients with kidney stones who underwent flexible ureteroscopic lithotripsy were enrolled.According to whether a double-J ureteral catheter was placed before surgery,these patients were divided into preoperative placement group（131 patients）and conventional group（87 patients）.The two groups were compared in terms of time of operation,length of postoperative hospital stay,and complications.Results There were significant differences between the two groups in time of operation,length of postoperative hospital stay,success rate of ureteral sheath placement,ureteral injuries,intraoperative bleeding,postoperative hematuria,urinary-derived sepsis,formation of steinstrasse,and incidence of residual stones in kidney（t=7.19,6.18;χ^2=4.26-9.39;P〈0.05）.Conclusion Preoperative placement of double-J ureteral catheter before flexible ureteroscopic lithotripsy can significantly reduce time of operation,length of postoperative hospital stay,and number of complications.

关 键 词：输尿管镜检查 肾结石 双J管 手术后并发症 治疗结果 

分 类 号：R730.49[医药卫生—肿瘤]