CAJ | 학술논문

目的探讨输尿管镜碎石取石术处理简单输尿管下段结石后不留置双J管与尿管的初步经验.方法回顾性分析从2009年1月至2012年10月对64例简单输尿管下段结石患者行输尿管镜碎石取石术的临床资料,患者被分为两组:对照组32例(放置双J管)；观察组32例(不放置双J管与尿管).结果放置双J管组手术时间显著长于无管化组；无管化组术后患者腰痛、血尿、膀胱刺激征的发生率低于放置双J管组,两组之间有显著性差异(P＜0.05)；术后1个月输尿管无石率无统计学差异(P＞0.05).结论输尿管镜碎石取石术治疗简单输尿管下段结石,可不必常规留置双J管与尿管,创伤轻,痛苦少,恢复快.
목적 탐토수뇨관경쇄석취석술처리간단수뇨관하단결석후불류치쌍J관여뇨관적초보경험.방법 회고성분석종2009년1월지2012년10월대64례간단수뇨관하단결석환자행수뇨관경쇄석취석술적림상자료,환자피분위량조:대조조32례(방치쌍J관)；관찰조32례(불방치쌍J관여뇨관).결과 방치쌍J관조수술시간현저장우무관화조；무관화조술후환자요통、혈뇨、방광자격정적발생솔저우방치쌍J관조,량조지간유현저성차이(P＜0.05)；술후1개월수뇨관무석솔무통계학차이(P＞0.05).결론 수뇨관경쇄석취석술치료간단수뇨관하단결석,가불필상규류치쌍J관여뇨관,창상경,통고소,회복쾌.
Objectives To investigate the initial experience of ureteroscopy lithotripsy deal with simple ureteral stone not indwelling double J tube.Methods A retrospective analysis from January 2009 in October 2012,64 cases of simple ureteral stone under ureteroscopy lithotripsy,patients were divided into two groups:32 cases in control group (placement of double J tube) ; 32 cases of observation group (dont indwelling double J tube and urinary tube).Results The double J tube group operation time was significantly longer than without the tube ; No pipe group of postoperative patients with lower back pain,hematuria,the incidence of bladder irritation than that of double J tube group,there are significant differences between two groups; 1 month postoperative ureteral stone rate no statistical difference.Conclusions Ureteroscopy lithotripsy deal with the simple ureteral stone,need not routine indwelling double J tube and urinary tube,will have light trauma,less pain,rapid recovery.