[1]王振宇,陈 军.输尿管结石术后双J管留置时间的比较分析[J].医学信息,2018,31(19):105-107.[doi:10.3969/j.issn.1006-1959.2018.19.031]
 WANG Zhen-yu,CHEN Jun.Comparative Analysis of Indwelling Time of Double J Tube after Ureteral Calculi[J].Medical Information,2018,31(19):105-107.[doi:10.3969/j.issn.1006-1959.2018.19.031]
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输尿管结石术后双J管留置时间的比较分析()
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医学信息[ISSN:1006-1959/CN:61-1278/R]

卷:
31卷
期数:
2018年19期
页码:
105-107
栏目:
临床研究
出版日期:
2018-10-01

文章信息/Info

Title:
Comparative Analysis of Indwelling Time of Double J Tube after Ureteral Calculi
文章编号:
1006-1959(2018)19-0105-03
作者:
王振宇陈 军
山东大学齐鲁医院青岛院区泌尿外科,山东 青岛 266000
Author(s):
WANG Zhen-yuCHEN Jun
Urinary Surgery,Qingdao Institute of Qilu Hospital,Shandong University,Qingdao 266000, Shandong,China
关键词:
输尿管结石双J管留置时间并发症
Keywords:
Ureteral calculiDouble J tubeIndwelling timeComplications
分类号:
R699
DOI:
10.3969/j.issn.1006-1959.2018.19.031
文献标志码:
A
摘要:
目的 探讨单纯输尿管结石术后双J管留置2周、4周对患者并发症、手术效果的影响。方法 收集山东大学齐鲁医院青岛院区2015年7月~2017年7月收治的单纯输尿管结石患者87例,其中术后双J管留置时间2周45例,4周42例,术后对上述所有患者进行随访,观察并发症及治疗效果。结果 两组患者均未出现输尿管狭窄等严重并发症。4周组患者术后感染、出血、腰部不适、输尿管口及管口周围炎性改变、双J管结石附着及拔管后输尿管出血发生率均高于2周组,差异有统计学意义(P<0.05)。结论 单纯输尿管结石术后双J管留置时间2周可减少并发症,不影响手术效果。
Abstract:
Objective To investigate the effects of double-J tube indwelling for 2 weeks and 4 weeks after ureteral calculi on the complications and surgical outcomes.Methods A total of 87 patients with simple ureteral calculi admitted to the Qingdao institute of Qilu Hospital of Shandong University from July 2015 to July 2017 were enrolled.Among them,45 patients were treated with double J tube indwelling for 2 weeks and 42 patients for 4 weeks.All of the above were performed after operation.The patients were followed up to observe complications and treatment effects. Results No serious complications such as ureteral stricture occurred in either group. Postoperative infection,hemorrhage,lumbar discomfort,ureteral orifice and inflammatory changes around the orifice,double J tube calculus attachment and ureteral bleeding after extubation were higher in the 4-week group than in the 2-week group,the difference was statistically significant(P<0.05).Conclusion The double J tube indwelling time after ureteral calculi can reduce complications without affecting the operation.

参考文献/References:

[1]刘晶,关卫民,夏世红,等.输尿管结石患者肾盂积水感染的治疗[J].中华医院感染学杂志,2015,25(7):1629-1631. [2]Damiano R,Autorino R,Esposito C,et al.Stent Positioning after Ureteroscopy for Urinary Calculi:The Question Is Still Open[J].European Urology,2004,46(3):381-388. [3]李为兵,李龙坤,鄢俊安.双J 管在泌尿外科中的应用(附1580 例报告) [J].中国内镜杂志,2006,12(4):376-377. [4]兰卫华,李家宽,李彦锋,等.输尿管镜碎石术后输尿管内支架管最佳拔管时间的随机临床研究[J].中国内镜杂志,2012,18(11):1147-1150. [5]朱再生,刘全启,陈良佑,等.输尿管镜钬激光碎石术治疗输尿管结石(附677 例报告) [J].中国微创外科杂志,2014,14(1):46-49. [6]王荣,章小平,陈伟军,等.α1 联合M 受体阻滞剂在输尿管镜碎石术后双J 管综合征防治中的应用[J].中华腔镜泌尿外科杂志,2014,8(1):29-32. [7]王珅,陈志强.双J管留置时间与相关并发症发生率关系的分析[J].微创泌尿外科杂志,2015,4(6):359-363.

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更新日期/Last Update: 2018-10-29