微创经皮肾镜取石术后气囊导尿管作肾造瘘管的优势

发布时间：2018-03-31 22:13

本文选题：经皮肾镜取石术　切入点：肾造瘘管　出处：《中南大学学报(医学版)》2017年07期

【摘要】：目的:评估双腔气囊导尿管在微创经皮肾镜取石术(minimally invasive percutaneous nephrolithotomy,mPCNL)后作肾造瘘管的优势。方法:前瞻性收集2015年10月至2016年4月明确诊断为上尿路结石且应用mPCNL治疗的137例患者的临床资料,随机将病例资料分为气囊导尿管组(实验组,n=69)与普通造瘘管组(对照组,n=68)。对照研究两组术后出血量、出血天数、管道脱落情况、疼痛程度,并总结m PCNL术后肾造瘘管的护理经验。结果:实验组术后出血量、出血天数明显低于对照组,差异均有统计学意义(均P0.01)。实验组术后脱管率较对照组明显降低,差异有统计学意义(P0.05)。两组术后疼痛评分差异无统计学意义(P0.05),实验组患者并未由于放置气囊导尿管而出现其他并发症和不适症状。结论:上尿路结石行mPCNL后,留置双腔气囊导尿管替代普通肾造瘘管是安全的,能有效减少术后出血,并且可降低术后脱管率,不增加患者术后疼痛,可降低术后护理难度及风险。
[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.

【作者单位】：中南大学湘雅医院手术室;中南大学湘雅医院泌尿外科;
【基金】：湖南省自然科学基金青年项目(2017JJ3482)~~
【分类号】：R473.6

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