中国内镜杂志2024，Vol.30Issue(8)：36-41,6.DOI:10.12235/E20230560
术前留置双J管时间对经尿道输尿管软镜碎石术治疗上尿路结石的影响
Effect of indwelling double J tube time before operation on upper urinary tract calculus treated by flexible ureteral lithotripsy
赵学根 1李国伟 1谢华杰1
作者信息
- 1. 浙江普陀医院 泌尿外科,浙江 普陀 316100
- 折叠
摘要
Abstract
Objective To investigate the efficacy and safety of different preoperative indwelling time of double J tube in the treatment of upper urinary tract calculus by transurethral flexible ureteroscopic lithotripsy(FURL).Methods 135 patients with upper urinary tract calculus who underwent transurethral FURL treatment were selected and divided into group A(1 week retention),group B(2 weeks retention)and group C(1 month retention)with 45 cases each according to the time of indentation of double J tubes.The efficacy and safety of FURL treatment in three groups were compared.Results There were no significant differences in operation time,intraoperative blood loss,postoperative hospital stay,stone removal time,success rate of channel sheath implantation at one time and stone clearance rate at one month after operation among the three groups(P>0.05).The urinary tract infection,irritation sign of bladder and gross hematuria in group A were significantly lower than those of group B and group C(P<0.05).There were no significant differences in fever and ureteral wall injury among the three groups(P>0.05).Conclusion In the treatment of upper urinary tract calculus by tranurethral FURL,the double J tube can be implanted for 1 week before operation to achieve ideal surgical treatment effect and reduce the risk of surgical complications.关键词
上尿路结石/双J管/输尿管软镜碎石术(FURL)/留置时间Key words
upper urinary tract calculus/double J tube/flexible ureteroscopic lithotripsy(FURL)/indwelling time分类
医药卫生引用本文复制引用
赵学根,李国伟,谢华杰..术前留置双J管时间对经尿道输尿管软镜碎石术治疗上尿路结石的影响[J].中国内镜杂志,2024,30(8):36-41,6.
