超声引导下肾盂穿刺造瘘术在上尿路梗阻尿流改道治疗中的护理  

Clinical Care of Ultrasound-guided Pyelostomy in Treatment of Upper Urinary Tract Obstruction with Urinary Diversion

作　　者：周健平[1] 曲丽莹[2] 伏鑫 王艳华[4] ZHOU Jianping;QU Liying;FU Xin;WANG Yanhua(Department of Ultrasound,China-Japan Union Hospital of Jilin University,Changchun 130031,China;Department of Breast Surgery,China-Japan Union Hospital of Jilin University,Changchun 130031,China;Department of Nursing,China-Japan Union Hospital of Jilin University,Changchun 130031,China;Department of General Surgery,964 Hospital of the Joint Service Support Force of the Chinese people's Liberation Army,Changchun 130062)

机构地区：[1]吉林大学中日联谊医院超声科,长春130031 [2]吉林大学中日联谊医院乳腺外科,长春130031 [3]吉林丸学中日联谊医院护理部,长春130031 [4]中国人民解放军联勤保障部队第964医院普通外科,长春130062

出　　处：《长春中医药大学学报》2019年第6期1161-1163,共3页Journal of Changchun University of Chinese Medicine

基　　金：吉林省直卫生专项项目(SCZSY201701)

摘　　要：目的探讨超声引导下肾盂穿刺造瘘术在上尿路梗阻尿流改道治疗中的临床护理要点,总结护理方法,提高护理质量。方法回顾性分析我科124例因上尿路梗阻需尿流改道治疗,所进行的超声引导下肾盂穿刺造瘘术的术前准备、术中配合及术后护理要点,评价在此项治疗中临床护理的价值。结果 124例患者均一次性置管成功,围手术期间护理得当,32例结石性肾盂积水患者置管引流1周后行碎石术,拔管并告知患者注意事项后治愈出院,92例非结石性肾盂积水患者因治疗需要无法拔管行长期置管引流术,并嘱3月后更换造瘘管。结论超声引导下肾盂穿刺造瘘术在上尿路梗阻尿流改道治疗的过程中,良好的临床护理可以提高手术成功率,保证引流通畅,减少并发症的发生,增强治疗效果。Objective To explore the main points of clinical nursing in the treatment of upper urinary tract obstruction urethral flow diversion by ultrasound-guided pyelostomy, and summarize the nursing methods to improve the quality of nursing. Methods 124 patients with upper tract obstruction to urinary diersion treatment by ultrasound guided puncture of the renal pelvis colostomy surgery preoperative preparation, intraoperative matching and postoperative nursing points were retrospectively analyzed, and the value of clinical nursing in the treatment were evaluated. Results 124 patients were succeeded in catheter, and the nursing was properly during the peri-operation, 32 patients with calculus of hydronephrosis were received lithotripsy after 1 week, and after catheter drainage tube drawing, they were discharged after being informed of precautions. 92 patients with non calculous hydronephrosis due to treatment need not tube drawing line catheter drainage for a long time, and were informed to change fistula after 3 months. Conclusion During the Ultrasound guided percutaneous renal pelvis puncture colostomy in the urinary tract obstruction of urinary diersion treatment process, good clinical nursing can improve the success rate of surgery, and ensure that the drainage unobstructed, reduce complications, and enhance the efficacy of treatment.

关 键 词：超声引导 肾盂造瘘术 上尿路梗阻 临床护理 

分 类 号：R473.6[医药卫生—护理学]