CAJ | 학술논문

目的：综合性评价 Foley 管作为微创经皮肾镜碎石术后肾造瘘管的疗效及并发症。方法：2011年3月1日-2012年12月31日收治微创经皮肾镜碎石术患者168例，根据术后使用肾造瘘管的种类，随机分为Foley管组(82例)和普通肾造瘘管组(86例)，比较两组间术后出血时间、血红蛋白下降值、输血率、需介入止血率、术后第2天和第5天疼痛分值(VAS值)等指标。结果：Foley管组的术后出血时间、血红蛋白下降值均低于普通肾造瘘管组(P＜0.05)，术后第2天疼痛分值(VAS值)及输血率、介入止血率的差异无统计学意义(P＞0.05)，术后第5天疼痛分值(VAS值)高于普通肾造瘘管组(P＜0.05)。结论：Foley管作为肾造瘘管可减少微创经皮肾镜碎石术后出血，但并不适用于较大肾动脉分支损伤的治疗，留管时间长将加重疼痛。
목적：종합성평개 Foley 관작위미창경피신경쇄석술후신조루관적료효급병발증。방법：2011년3월1일-2012년12월31일수치미창경피신경쇄석술환자168례，근거술후사용신조루관적충류，수궤분위Foley관조(82례)화보통신조루관조(86례)，비교량조간술후출혈시간、혈홍단백하강치、수혈솔、수개입지혈솔、술후제2천화제5천동통분치(VAS치)등지표。결과：Foley관조적술후출혈시간、혈홍단백하강치균저우보통신조루관조(P＜0.05)，술후제2천동통분치(VAS치)급수혈솔、개입지혈솔적차이무통계학의의(P＞0.05)，술후제5천동통분치(VAS치)고우보통신조루관조(P＜0.05)。결론：Foley관작위신조루관가감소미창경피신경쇄석술후출혈，단병불괄용우교대신동맥분지손상적치료，류관시간장장가중동통。
Objective:To comprehensively evaluate the curative effect and complications of Foley tube as the minimally invasive percutaneous nephroscope lithotripsy postoperative nephrostomy tube.Methods:168 cases with minimally invasive percutaneous nephroscope lithotripsy were selected from 1 March 2011 to 31 December 2012.According to types of postoperative nephrostomy tube,they were randomly divided into Foley tube group(82 cases) and the normal nephrostomy tube group(86 cases).The postoperative bleeding time,the drop-out value of hemoglobin,the blood transfusion rate,the bleeding rate of needing to intervene, the pain scores(VAS value) of 2 and 5 days after operation of two groups were compared.Results:The postoperative bleeding time and drop-out value of hemoglobin of Foley tube group were lower than those of the normal nephrostomy tube group(P<0.05).The pain scores(VAS value) of 2 days after operation,the blood transfusion rate and the bleeding rate of needing to intervene had no statistical significance(P>0.05).The pain scores(VAS value) of 5 days after operation was higher than that of the normal nephrostomy tube group(P<0.05).Conclusion:Foley tube as the nephrostomy tube can reduce the minimally invasive percutaneous nephroscope lithotripsy postoperative bleeding,but it is not suitable for treating large renal arterial injury.Its indwelling catheter time is long and it will aggravate the pain.