CAJ | 학술논문

目的：为了进一步提高上尿路手术术后双J管滞留的难题，分析和研究通过尿道行输尿管镜拔管术的可行性。方法：将2008年5月-2013年5月来笔者所在医院泌尿外科因上尿路手术术后双J管滞留住院的40例患者随机分为治疗组和观察组，每组20例，其中治疗组应用输尿管镜及相关的器物钳取出双J管，而观察组通过手术取出双J管，分析双J管滞留的并发症及处理办法。结果：治疗组并发症发生率明显少于观察组，且两组比较差异有统计学意义(P<0.05)。结论：只要正常掌握双J管置入技术和熟悉患者尿路解剖，可以通过输尿管镜取出滞留的双J管，效果显著，并发症少，值得临床推广。
목적：위료진일보제고상뇨로수술술후쌍J관체류적난제，분석화연구통과뇨도행수뇨관경발관술적가행성。방법：장2008년5월-2013년5월래필자소재의원비뇨외과인상뇨로수술술후쌍J관체류주원적40례환자수궤분위치료조화관찰조，매조20례，기중치료조응용수뇨관경급상관적기물겸취출쌍J관，이관찰조통과수술취출쌍J관，분석쌍J관체류적병발증급처리판법。결과：치료조병발증발생솔명현소우관찰조，차량조비교차이유통계학의의(P<0.05)。결론：지요정상장악쌍J관치입기술화숙실환자뇨로해부，가이통과수뇨관경취출체류적쌍J관，효과현저，병발증소，치득림상추엄。
Objective:To further improve the feasibility of post-operative urinary retention double J tube problem,so through the urethra ureteroscopy surgery extubation to be analyzed and studied.Method:From May 2008 to May 2013,our hospital urology surgery on the urinary tract due to the double J tube stranded hospitalized patients were randomly divided into treatment group and observation group,20 cases in each group;Among treatment group applications and related artifacts pliers to remove the double J tube,and observation group observed double J tube removed through surgery,double J tube stranded complications and approach were analyzed.Result:The incidence of complication was significantly less than in observation group,and the difference was statistically significant(P<0.05).Conclusion:As long as a normal master double J tube into the patient urinary tract anatomy and familiarity with technology,can remove stranded double J tube by ureteroscopy,the effect is significantly less complications,is worthy of promotion.