后腹腔镜下输尿管切开取石术中“退送法”留置双J管的临床应用探讨  

Retreat and push technique in double-J sent insertion during retroperitoneal laparoscopic ureterolithotomy

作　　者：于得水[1] 李琛[1] 冯宁翰[1] 吴岩[1] 董坚[1] Yu Deshui, Li Chen, Feng Ninghan, et al.(Department of Urology, Wuxi No. 2 People＇s Hospital Affiliated to Nanjing Medical University, Wuxi 214002, China)

机构地区：[1]无锡南京医科大学附属无锡市第二人民医院泌尿外科,江苏214002

出　　处：《国际泌尿系统杂志》2018年第5期723-725,共3页International Journal of Urology and Nephrology

摘　　要：目的 观察“退送法”在后腹腔镜下输尿管切开取石术中留置双J管时的应用效果及术后情况.方法 回顾性分析本院自2015年3月至2017年3月收治的输尿管上段结石患者42例,均行后腹腔镜下输尿管切开取石术,术中留置双J管时应用“退送法”,术后复查KUB,观察双J管位置及术后情况.结果 42例患者术中留置双J管均成功,置管时间（1.81±0.71）min,术后复查KUB双J管位置良好,术后4～6d拔除尿管,5～7d拔除引流管,1～2个月拔除双J管,无漏尿及感染发热病例.结论 后腹腔镜下输尿管切开取石术中行“退送法”留置双J管简单、便捷、有效,值得临床进一步推广. Objective To investigate the new method of ＂retreat and push＂ in double-J sent insertion during retroperitoneal laparoscopic ureterolithotomy.Methods From March 2015 to March 2017,42 cases of upper ureteral calculi were performed retroperitoneal laparoscopic ureterolithotomy,retreat and push technique technique in double-J sent insertion were adopted during operations,the experiences of placement and the data of postoperation were summarized.Results The processes of double-J sent insertion were completed in （1.81 ±0.71） min（from 1 to 4 min）,and the positions were showed normal in KUB after operations.The catheters were removed 4-6 days after operation and drainage tubes one day later,while the double-J sents were pulled out 1 to 2 months after operation.No cases of infection or leakage of urine were found.Conclusions Retreat and push technique is simple,fast and effective in retroperitoneal laparoscopic ureterolithotomy.

关 键 词：输尿管结石 腹腔镜检查 导管 留置 

分 类 号：R699.4[医药卫生—泌尿科学]