本文選題：經(jīng)皮腎鏡取石術(shù)　切入點(diǎn)：腎造瘺管　出處：《中南大學(xué)學(xué)報(bào)(醫(yī)學(xué)版)》2017年07期

【摘要】：目的:評(píng)估雙腔氣囊導(dǎo)尿管在微創(chuàng)經(jīng)皮腎鏡取石術(shù)(minimally invasive percutaneous nephrolithotomy,mPCNL)后作腎造瘺管的優(yōu)勢(shì)。方法:前瞻性收集2015年10月至2016年4月明確診斷為上尿路結(jié)石且應(yīng)用mPCNL治療的137例患者的臨床資料,隨機(jī)將病例資料分為氣囊導(dǎo)尿管組(實(shí)驗(yàn)組,n=69)與普通造瘺管組(對(duì)照組,n=68)。對(duì)照研究?jī)山M術(shù)后出血量、出血天數(shù)、管道脫落情況、疼痛程度,并總結(jié)m PCNL術(shù)后腎造瘺管的護(hù)理經(jīng)驗(yàn)。結(jié)果:實(shí)驗(yàn)組術(shù)后出血量、出血天數(shù)明顯低于對(duì)照組,差異均有統(tǒng)計(jì)學(xué)意義(均P0.01)。實(shí)驗(yàn)組術(shù)后脫管率較對(duì)照組明顯降低,差異有統(tǒng)計(jì)學(xué)意義(P0.05)。兩組術(shù)后疼痛評(píng)分差異無(wú)統(tǒng)計(jì)學(xué)意義(P0.05),實(shí)驗(yàn)組患者并未由于放置氣囊導(dǎo)尿管而出現(xiàn)其他并發(fā)癥和不適癥狀。結(jié)論:上尿路結(jié)石行mPCNL后,留置雙腔氣囊導(dǎo)尿管替代普通腎造瘺管是安全的,能有效減少術(shù)后出血,并且可降低術(shù)后脫管率,不增加患者術(shù)后疼痛,可降低術(shù)后護(hù)理難度及風(fēng)險(xiǎn)。
[Abstract]:Objective: To evaluate the double lumen balloon catheter in minimally invasive percutaneous nephrolithotomy lithotomy (minimally invasive percutaneous nephrolithotomy, mPCNL) after nephrostomy advantage. Methods: from October 2015 to April 2016, the clinical data of 137 cases diagnosed as upper urinary calculi treatment and application of mPCNL were randomly divided prospective, clinical data as the balloon catheter group (experimental group, n=69) and fistula group (control group, n=68). The amount of bleeding control, study group two days of postoperative hemorrhage, pipeline loss, pain degree, and summarize the nursing experience of M PCNL postoperative renal fistula. Results: the amount of bleeding after surgery in the experimental group. Bleeding days was significantly lower than the control group, the differences were statistically significant (P0.01). The experimental group postoperative decannulation rate was significantly lower than the control group, the difference was statistically significant (P0.05). Two groups of postoperative pain score difference was statistically significant (P0.05), real The experimental group were not due to placement of catheter and other complications and discomfort symptoms. Conclusion: urinary calculi underwent mPCNL after indwelling double lumen balloon catheter instead of normal renal fistula is safe, can effectively reduce postoperative bleeding, and can reduce the postoperative decannulation rate does not increase after surgery the pain, can reduce the difficulty and risk of postoperative care.

【作者單位】： 中南大學(xué)湘雅醫(yī)院手術(shù)室;中南大學(xué)湘雅醫(yī)院泌尿外科;
【基金】：湖南省自然科學(xué)基金青年項(xiàng)目(2017JJ3482)~~
【分類(lèi)號(hào)】：R473.6

【參考文獻(xiàn)】

相關(guān)期刊論文 前5條

1 盧啟海;邱劍光;黃文濤;王偉;;經(jīng)皮腎鏡碎石取石術(shù)治療腎結(jié)石的現(xiàn)狀[J];中華腔鏡泌尿外科雜志(電子版);2015年05期

2 桑乾宏;李春強(qiáng);蔡雅富;任勝?gòu)?qiáng);;雙腔氣囊導(dǎo)尿管腎造瘺在經(jīng)皮腎鏡取石術(shù)中的應(yīng)用[J];中華腔鏡泌尿外科雜志(電子版);2015年02期

3 何輝;;微造瘺經(jīng)皮腎鏡取石術(shù)應(yīng)留置腎造瘺管[J];現(xiàn)代泌尿外科雜志;2014年06期

4 高彥;馬社君;邢保娥;;150例腎多發(fā)結(jié)石經(jīng)皮腎鏡超聲碎石術(shù)后腎造瘺管的護(hù)理[J];中華護(hù)理雜志;2013年06期

5 李U嗹，

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