同轴导丝法更换肾造瘘管在长期留置肾造瘘管患者中的应用  

Application of Coaxial Guide-Wire Replacement of Renal Sputum Tube in Patients with Long Term Indwentional Renal Fistula

作　　者：蔡华丽[1] 钟洁愉[1] CAI Hua-li;ZHONG Jie-yu(Department of Ultrasonic Imaging,Peking University Shenzhen Hospital,Shenzhen 518000,Guangdong Province,China)

机构地区：[1]北京大学深圳医院超声影像科,广东深圳518000

出　　处：《罕少疾病杂志》2022年第4期76-78,107,共4页Journal of Rare and Uncommon Diseases

基　　金：深圳市医学重点学科建设经费(SZXK051);深圳市“医疗卫生三名工程”项目资助(SZSM202111011)。

摘　　要：目的探讨同轴导丝法更换肾造瘘管在长期留置肾造瘘管患者中的临床应用价值。方法回顾性分析同轴导丝法换管组与造瘘管重置组患者的临床资料,比较两组患者换管术手术时长及术后并发症。结果同轴导丝法较造瘘管重置法手术时长明显缩短、术后出血明显减少、术后疼痛明显减轻,差异有统计学意义(P<0.05)。结论对于长期需留置肾造瘘管的患者,同轴导丝法更换肾造瘘管手术时间短、创伤小、疼痛轻、并发症少,较重置法能使患者有更大的获益,临床应用效果满意。Objective To investingate the clinical value of coaxial guide wire replacement in long-term indwelling nephrostomy.Methods Clinical data of coaxial guide wire tube replacement group and tube replacement group were retrospectively analyzed,and operative duration and postoperative complications of tube replacement were compared between the two groups.Results Compared with tube replacement,coaxial guide wire method significantly shortened the duration of operation,significantly reduced postoperatibe bleeding,and significantly reduced postoperative pain,P<0.05,the difference was statistically significant.Conclusion For patients who need indweling nephrostomy sponges for a lomg time,coaxial guide wire replacement of nephrostomy sponges has shorter operation time,less trauma,less pain and fewer complications.Compared with replacement of nephrostomy sponges,coaxial guide wire replacement of nephrostomy sponges can bring more benefits to patients and the clinical application effect is satisfactory.

关 键 词：同轴导丝法 换管 肾造瘘 超声 

分 类 号：R459.9[医药卫生—治疗学]