中外医学研究
中外醫學研究
중외의학연구
CHINESE AND FOREIGN MEDICAL RESEARCH
2014年
2期
70-71
,共2页
腹腔镜手术%乳糜尿%护理
腹腔鏡手術%乳糜尿%護理
복강경수술%유미뇨%호리
Renal pedicle lymphatic stripped%Chyluria%Restropertoneoscopy
目的：探讨乳糜尿的治疗及护理。方法：回顾性分析2007年6月-2013年1月笔者所在科收治的31例乳糜尿手术患者，分成A、B两组。A组采用常规后腹腔镜下肾蒂淋巴管剥脱术，共16例。B组采用改良后腹腔镜下肾门旁淋巴管剥脱术，共15例。均给予针对性护理。对比两组患者手术时间、术中出血量、肾周引流管留置时间、肾周引流量、术后肠功能恢复时间、术后呼吸道感染、肉眼血尿发生情况等。结果：31例患者均痊愈。A组手术时间(108.7±11.7)min、术中出血量(69.3±9.6)ml、肾周引流管留置时间(4.0±0.8)d、肾周引流总量(153.2±18.7)ml、术后肠功能恢复时间(2.8±0.7)d、术后卧床1周，肉眼血尿11例、术后呼吸道感染7例。B组手术时间(78.9±11.2)min，术中出血量(67.7±9.8)ml、肾周引流管留置时间(2.2±0.6)d，肾周引流总量(149.5±17.3)ml、术后肠功能恢复时间(1.3±0.5)d，术后第2天即可下床。肉眼血尿1例、术后呼吸道感染3例。结论：两种手术方法结合针对性护理治疗乳糜尿，疗效满意。改良的后腹腔镜下肾门淋巴管剥脱术创伤更小，术后恢复快，术后并发症更少。
目的：探討乳糜尿的治療及護理。方法：迴顧性分析2007年6月-2013年1月筆者所在科收治的31例乳糜尿手術患者，分成A、B兩組。A組採用常規後腹腔鏡下腎蒂淋巴管剝脫術，共16例。B組採用改良後腹腔鏡下腎門徬淋巴管剝脫術，共15例。均給予針對性護理。對比兩組患者手術時間、術中齣血量、腎週引流管留置時間、腎週引流量、術後腸功能恢複時間、術後呼吸道感染、肉眼血尿髮生情況等。結果：31例患者均痊愈。A組手術時間(108.7±11.7)min、術中齣血量(69.3±9.6)ml、腎週引流管留置時間(4.0±0.8)d、腎週引流總量(153.2±18.7)ml、術後腸功能恢複時間(2.8±0.7)d、術後臥床1週，肉眼血尿11例、術後呼吸道感染7例。B組手術時間(78.9±11.2)min，術中齣血量(67.7±9.8)ml、腎週引流管留置時間(2.2±0.6)d，腎週引流總量(149.5±17.3)ml、術後腸功能恢複時間(1.3±0.5)d，術後第2天即可下床。肉眼血尿1例、術後呼吸道感染3例。結論：兩種手術方法結閤針對性護理治療乳糜尿，療效滿意。改良的後腹腔鏡下腎門淋巴管剝脫術創傷更小，術後恢複快，術後併髮癥更少。
목적：탐토유미뇨적치료급호리。방법：회고성분석2007년6월-2013년1월필자소재과수치적31례유미뇨수술환자，분성A、B량조。A조채용상규후복강경하신체림파관박탈술，공16례。B조채용개량후복강경하신문방림파관박탈술，공15례。균급여침대성호리。대비량조환자수술시간、술중출혈량、신주인류관류치시간、신주인류량、술후장공능회복시간、술후호흡도감염、육안혈뇨발생정황등。결과：31례환자균전유。A조수술시간(108.7±11.7)min、술중출혈량(69.3±9.6)ml、신주인류관류치시간(4.0±0.8)d、신주인류총량(153.2±18.7)ml、술후장공능회복시간(2.8±0.7)d、술후와상1주，육안혈뇨11례、술후호흡도감염7례。B조수술시간(78.9±11.2)min，술중출혈량(67.7±9.8)ml、신주인류관류치시간(2.2±0.6)d，신주인류총량(149.5±17.3)ml、술후장공능회복시간(1.3±0.5)d，술후제2천즉가하상。육안혈뇨1례、술후호흡도감염3례。결론：량충수술방법결합침대성호리치료유미뇨，료효만의。개량적후복강경하신문림파관박탈술창상경소，술후회복쾌，술후병발증경소。
Objective:Discuss the treatment and nursing of chyluria.Method:Retrospective analysis 32 chyluria operation patients from Jun 2007 to Jan 2013 of our department which were divide into A and B groups.In A group 16 patients were cure with common renal pedicle lymphatic stripped by restropertoneoscopy.In B group 15 patients were cure with improved lymphatic stripped by restropertoneoscopy.All the patients were given targeted cure and nursing. Contract operation time,intraoperative blood loss,drainage tube indwelling time,intestinal function recovery time,time in bed,volume of drainage,case of gross hematuria and postoperative respiratory tract infection.Result:All the patients were healed.In group A operation time(108.7±11.7)min,intraoperative blood loss (69.3±9.6)ml,drainage tube indwelling time(4.0±0.8)d,intestinal function recovery time(2.8±0.7)d,time in bed 7days.Case of gross hematuria 11, case of postoperative respiratory tract infection 7 ,In group B operation time(78.9±11.2)min,intraoperative blood loss(67.7±9.8)ml,drainage tube indwelling time(2.2±0.6)d,intestinal function recovery time(1.3±0.5)d,time in bed 2 day.Case of gross hematuria 1,case of postoperative respiratory tract infection 3.Operation time,intestinal function recovery time,drainage tube indwelling time,time in bed,case of gross hematuria and postoperative respiratory tract infection were all difference significantly in statistic(P<0.05).Conclusion:Combined with targeted nursing,each of the method has good effect.The improved lymphatic stripped by restropertoneoscopy method has small operation wound,rapid recover and fewer complications.
