CAJ | 학술논문

目的分析泌尿系疾病中输尿管双J管的应用及亚甲蓝在开放手术置双J管时的辅助作用.方法 326例患者分别采用3种途径(开放手术置入法74例、膀胱镜逆行置入法121例、肾镜/输尿管镜顺行置入法131例)内置双J管,67例开放手术以亚甲蓝辅助下放置双J管.结果术后1～3个月膀胱镜下拔除双J管,随访患者吻合口通畅,肾积水、肾功能明显好转.部分患者长期留置、定期更换双J管.以亚甲蓝辅助置管者无一例出现拔管困难.结论泌尿系疾病应用输尿管双J管内引流效果好、操作简单、并发症少,亚甲蓝协助开放手术中双J管放置安全有效.
목적 분석비뇨계질병중수뇨관쌍J관적응용급아갑람재개방수술치쌍J관시적보조작용.방법 326례환자분별채용3충도경(개방수술치입법74례、방광경역행치입법121례、신경/수뇨관경순행치입법131례)내치쌍J관,67례개방수술이아갑람보조하방치쌍J관.결과 술후1～3개월방광경하발제쌍J관,수방환자문합구통창,신적수、신공능명현호전.부분환자장기류치、정기경환쌍J관.이아갑람보조치관자무일례출현발관곤난.결론 비뇨계질병응용수뇨관쌍J관내인류효과호、조작간단、병발증소,아갑람협조개방수술중쌍J관방치안전유효.
Objective To discuss the clinical effect of double J ureteral catheter onn urinary tract disease and the function of methylene blue in tubing operation.Methods Double J ureteral catheter was placed in 326 patients through three different approaches.Sixty-seven patients performed open surgery were located the situation of double J ureteral stents with methylene blue.Results No complications such as urine leaks and wound infections were found.Double J stents were removed by cystoscope in 1 -3 months.No anastomotic obstruction happened.Hydronephrosis and kidney function were significantly ameliorated throughout the follow-up period.Double J stents were placed permanently and replaced regularly in some patients.Double J stents by location of methylene blue were all in normal position and removed by cystoscope successfully.Conclusions Double J stents have dual function of internal drainage and internal stent.It is easy to operate safely.Placing double J stents with methylene blue in open surgery is safe and effective.