非膀胱镜非麻醉下小儿输尿管双J管取出术与膀胱镜下取管的对比研究

发布时间：2018-05-25 19:30

本文选题：小儿 + 输尿管双J管　；参考：《中国微创外科杂志》2015年11期

【摘要】：目的探讨非膀胱镜非麻醉下小儿输尿管双J管取出术的可行性。方法 2014年1月~2015年5月留置输尿管双J管患儿50例,年龄10个月~8岁,按随机数字表法随机分成改良组和传统组各25例。改良组水合氯醛灌肠镇静,用丝线圈经导尿管取出双J管;传统组静脉吸入复合麻醉,F6或F8膀胱镜下取出双J管。比较2组成功率、手术时间、住院时间、术后排尿不适以及镜下血尿等指标。结果改良组成功取出23例,失败2例,传统组25例均成功取出,二者成功率差异无统计学意义(Fisher检验,P=0.490)。改良组和传统组手术时间分别为(14.3±3.6)和(40.2±4.1)min(t=-23.630,P=0.000),住院时间分别为(1.2±0.4)和(2.7±0.6)d(t=-11.320,P=0.000),术后排尿不适分别为1例(4%)和8例(32%)(χ2=4.334,P=0.037),镜下血尿分别为1例(4%)和9例(36%)(χ2=5.484,P=0.019),差异均具有统计学意义。结论非膀胱镜非麻醉下小儿输尿管双J管取出术安全、可行、有效,值得临床推广。
[Abstract]:Objective to explore the feasibility of double J ureteral catheter removal under non-cystoscopic anesthesia in children. Methods from January 2014 to May 2015, 50 children with double-J ureteral tube, aged 10 months or 8 years, were randomly divided into two groups: the modified group (n = 25) and the traditional group (n = 25). In the modified group, chloral hydrate enema was used to sedate, the double J tubes were removed by wire coil through urethral catheter, and the double J tubes were removed under cystoscope of F6 or F8 by intravenous inhalation combined anesthesia in the traditional group. The success rate, operation time, hospital stay, postoperative urinary discomfort and hematuria under microscope were compared between the two groups. Results in the modified group, 23 cases were successfully removed, 2 cases failed, and 25 cases in the traditional group were successfully removed. There was no significant difference in the success rate between the two groups. The operative time of the modified group and the traditional group were 14.3 卤3.6 and 40.2 卤4.1 min, respectively, and the hospitalization time was 1.2 卤0.4 and 2.7 卤0.6 days, respectively. The postoperative dysuria was 1 case with 40.000 and 8 cases with postoperative dysuria (蠂 2 / 4.334P 0.037), and the hematuria under the microscope was 1 case with 44m and 9 cases with 3636 (25.484U P 0.019), respectively. Conclusion double J ureteral catheter removal under non-cystoscopic anesthesia is safe, feasible, effective and worthy of clinical application.
【作者单位】：河北省儿童医院泌尿外科;北京铁路局石家庄铁路疾病预防控制所;
【基金】：河北省2015年医学科学重点研究计划(20150554)
【分类号】：R726.9

【参考文献】