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Foley管作为微创经皮肾镜碎石术后肾造瘘管的综合性评价

胡志雄 杨帝宽 吴保忠 刘明建 车晓娟 肖剑

中国社区医师Issue(20):98-98,100,2.
中国社区医师Issue(20):98-98,100,2.DOI:10.3969/j.issn.1007-614x.2014.20.58

Foley管作为微创经皮肾镜碎石术后肾造瘘管的综合性评价

Comprehensive evaluation of Foley tube as the minimally invasive percutaneous nephroscope lithotripsy postoperative nephrostomy tube

胡志雄 1杨帝宽 1吴保忠 1刘明建 1车晓娟 1肖剑1

作者信息

  • 1. 526060广东肇庆市第二人民医院泌尿外科
  • 折叠

摘要

Abstract

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.

关键词

微创经皮肾镜碎石术/Foley管/肾造瘘管/出血/疼痛

Key words

Minimally invasive percutaneous nephroscope lithotripsy/Foley tube/Nephrostomy tube/Hemorrhage/Pain

引用本文复制引用

胡志雄,杨帝宽,吴保忠,刘明建,车晓娟,肖剑..Foley管作为微创经皮肾镜碎石术后肾造瘘管的综合性评价[J].中国社区医师,2014,(20):98-98,100,2.

中国社区医师

1007-614X

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