国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
10期
1387-1390
,共4页
袁道彰%黄兰珍%吴伟江%谢天翔%杨志添%苏泽轩
袁道彰%黃蘭珍%吳偉江%謝天翔%楊誌添%囌澤軒
원도창%황란진%오위강%사천상%양지첨%소택헌
经皮肾穿刺造瘘术%肾积脓%引流管管径
經皮腎穿刺造瘺術%腎積膿%引流管管徑
경피신천자조루술%신적농%인류관관경
Percutanous nephrostomy%Pyonephrosis%Drainage tube caliber
目的 探讨不同管径引流管对经皮肾穿刺造瘘引流肾积脓的疗效和安全性的影响.方法 2007年至2010年我院收治的肾积脓有发热的患者42例,予以抗感染和经皮肾穿刺引流治疗,小引流管组使用F6引流管,大引流管组使用F16引流管.结果 两组术后腰痛缓解,体温降至正常.大引流管组和小引流管组造瘘时间、术后疼痛评分、使用止痛药次数、体温降至正常时间和白细胞降至正常时间分别为(21.68±5.38) min、(3.61±2.42)、(0.72±0.71)、(2.73±2.47)d、(5.22±1.25)d和(12.70±4.64)min、(2.00±1.92)、(0.26±0.51)、(4.82±2.09)d、(7.10±1.74)d.结论 两种管径引流管在经皮肾穿刺造瘘引流肾积脓中都安全、效果确切,小引流管方法操作简单、手术时间短、术后疼痛轻,但大引流管的效果较好.
目的 探討不同管徑引流管對經皮腎穿刺造瘺引流腎積膿的療效和安全性的影響.方法 2007年至2010年我院收治的腎積膿有髮熱的患者42例,予以抗感染和經皮腎穿刺引流治療,小引流管組使用F6引流管,大引流管組使用F16引流管.結果 兩組術後腰痛緩解,體溫降至正常.大引流管組和小引流管組造瘺時間、術後疼痛評分、使用止痛藥次數、體溫降至正常時間和白細胞降至正常時間分彆為(21.68±5.38) min、(3.61±2.42)、(0.72±0.71)、(2.73±2.47)d、(5.22±1.25)d和(12.70±4.64)min、(2.00±1.92)、(0.26±0.51)、(4.82±2.09)d、(7.10±1.74)d.結論 兩種管徑引流管在經皮腎穿刺造瘺引流腎積膿中都安全、效果確切,小引流管方法操作簡單、手術時間短、術後疼痛輕,但大引流管的效果較好.
목적 탐토불동관경인류관대경피신천자조루인류신적농적료효화안전성적영향.방법 2007년지2010년아원수치적신적농유발열적환자42례,여이항감염화경피신천자인류치료,소인류관조사용F6인류관,대인류관조사용F16인류관.결과 량조술후요통완해,체온강지정상.대인류관조화소인류관조조루시간、술후동통평분、사용지통약차수、체온강지정상시간화백세포강지정상시간분별위(21.68±5.38) min、(3.61±2.42)、(0.72±0.71)、(2.73±2.47)d、(5.22±1.25)d화(12.70±4.64)min、(2.00±1.92)、(0.26±0.51)、(4.82±2.09)d、(7.10±1.74)d.결론 량충관경인류관재경피신천자조루인류신적농중도안전、효과학절,소인류관방법조작간단、수술시간단、술후동통경,단대인류관적효과교호.
Objective To investigate the therapeutic effect and safety of drainage tubes with different calibers in treating pyonephrosis in percutanous nephrostomy.Methods 42 patients from 2007 to 2010 with pyonephrosis and the symptom of fever underwent anti-infection treatment and percutanous nephrostomy.They were divided into two groups:big drainage tube group and small drainage tube group according to the size of pipe diameters,namely F6 and F16 drainage tube.Results Patients in both groups reported relived lumbago and normal body temperature postoperatively.The operation time,postoperative pain grades,times of applying painkillers,duration of increased temperature and leukocyte levels in the two groups were (21.68 ± 5.38) min,(3.61 ± 2.42) points,(0.72 ± 0.71) times,(2.73 ± 2.47) d,(5.22 ± 1.25) d and (12.70 ± 4.64) min,(2.00 ± 1.92) points,(0.26 ± 0.51) times,(4.82 ± 2.09) d,(7.10 ± 1.74) d respectively.Results of comparison between groups were considered significant (P ＜ 0.05).Conclusion Drainage tubes of both calibers prove safe and effective in treating pyonephrosis in percutanousnephrostomy.Relatively speaking,the small drainage tube technique is easy to operate with shorter operation time and fewer pains after surgery,while better effects are observed in big drainage tube group.
