中国伤残医学
中國傷殘醫學
중국상잔의학
CHINESE JOURNAL OF TRAUMA AND DISABILITY MEDICINE
2015年
5期
11-13
,共3页
郑元振%陈从其%林忠应%胡力仁
鄭元振%陳從其%林忠應%鬍力仁
정원진%진종기%림충응%호력인
输尿管镜结石手术%双J管
輸尿管鏡結石手術%雙J管
수뇨관경결석수술%쌍J관
Ureteroscopy stone surgery%Double J tube
目的：对输尿管镜结石手术中应用双J管（输尿管支架管）的临床资料进行总结、分析，探讨输尿管镜结石手术中留置双J管指征、留置时间及相关并发症处理。方法：分析2012年1月～2013年12月期间我院泌尿外科84例输尿管镜结石手术中留置双J管患者的临床资料。其中中下段输尿管结石78例，上段输尿管结石6例，双侧输尿管结石4例，合并输尿管息肉10例，合并输尿管狭窄8例，合并上尿路感染（脓肾）5例，均采用进口巴德F5型号双J管，留置时间1周～3个月。结果：术后随访，复查泌尿系CT或KUB（腹部平片）提示输尿管内结石已排尽，统计出现肉眼（镜下）血尿35例，下尿路刺激症状32例，尿路感染14例，移位（滑脱或回缩）3例，双J管管壁晶体物或结石附着12例，输尿管返流2例。结论：双J管适用于输尿管镜结石手术，合理的应用可以有效减少手术并发症发生率，从而提高临床使用的有效率。
目的：對輸尿管鏡結石手術中應用雙J管（輸尿管支架管）的臨床資料進行總結、分析，探討輸尿管鏡結石手術中留置雙J管指徵、留置時間及相關併髮癥處理。方法：分析2012年1月～2013年12月期間我院泌尿外科84例輸尿管鏡結石手術中留置雙J管患者的臨床資料。其中中下段輸尿管結石78例，上段輸尿管結石6例，雙側輸尿管結石4例，閤併輸尿管息肉10例，閤併輸尿管狹窄8例，閤併上尿路感染（膿腎）5例，均採用進口巴德F5型號雙J管，留置時間1週～3箇月。結果：術後隨訪，複查泌尿繫CT或KUB（腹部平片）提示輸尿管內結石已排儘，統計齣現肉眼（鏡下）血尿35例，下尿路刺激癥狀32例，尿路感染14例，移位（滑脫或迴縮）3例，雙J管管壁晶體物或結石附著12例，輸尿管返流2例。結論：雙J管適用于輸尿管鏡結石手術，閤理的應用可以有效減少手術併髮癥髮生率，從而提高臨床使用的有效率。
목적：대수뇨관경결석수술중응용쌍J관（수뇨관지가관）적림상자료진행총결、분석，탐토수뇨관경결석수술중류치쌍J관지정、류치시간급상관병발증처리。방법：분석2012년1월～2013년12월기간아원비뇨외과84례수뇨관경결석수술중류치쌍J관환자적림상자료。기중중하단수뇨관결석78례，상단수뇨관결석6례，쌍측수뇨관결석4례，합병수뇨관식육10례，합병수뇨관협착8례，합병상뇨로감염（농신）5례，균채용진구파덕F5형호쌍J관，류치시간1주～3개월。결과：술후수방，복사비뇨계CT혹KUB（복부평편）제시수뇨관내결석이배진，통계출현육안（경하）혈뇨35례，하뇨로자격증상32례，뇨로감염14례，이위（활탈혹회축）3례，쌍J관관벽정체물혹결석부착12례，수뇨관반류2례。결론：쌍J관괄용우수뇨관경결석수술，합리적응용가이유효감소수술병발증발생솔，종이제고림상사용적유효솔。
Objective:To ureteroscopy stone surgery by double J tube ( ureteral stent ) clinical data were summarized , analyzed, discussed ureteroscopy stone surgery indications for indwelling double J tube, indwelling time and treatment -related complications. Methods:urology clinical data of during January 2012 to December 2013 in our hospital 84 cases with double J tube indwelling ureteros-copy stone surgery were retrospectively analyzed.Under section ureteral calculi in 78 cases, upper ureteral calculi in 6 cases, bilateral u-reteral calculi in 4 cases, combined ureteral polyps in 10 cases, ureteral stenosis merger in 8 cases , the combined urinary tract infection ( pyonephrosis ) in 5 cases, Bard F5 double J tube were used, indwelling time of 1 week -3 months.Results:The postoperative follow-up , review urinary tract CT or KUB ( KUB ) prompted the ureteral stones drained , statistics appear to the gross( microscopic) hema-turia in 35 cases , 32 cases of lower urinary tract irritation , 14 cases of urinary tract infection, 3 cases of displacement ( slippage or re-traction ) , 12 cases of double J tube wall crystal or stones attached , 2 cases of ureteral reflux.Conclusion:Double J tube suitable for ureteroscopy stone surgery,reasonable application can effectively reduce the incidence of surgical complications , thereby improving effi-ciency in clinical use.
