输尿管镜下气压弹道碎石术治疗输尿管结石患者的护理

Nursing after Ureteroscopic Pneumatic Lithotripsy

目的探讨输尿管镜下气压弹道碎石术治疗输尿管结石的方法、并发症的预防及护理。方法对464例输尿管结石患者行输尿管镜下气压弹道碎石治疗,并加强围术期护理。结果采用输尿管镜下气压弹道碎石术治疗输尿管结石成功率高达95.5%(443/464),其中11例患者出现输尿管狭窄,8例患者形成假道,14例患者结石冲回肾盂,提示输尿管镜碎石术失败,改其他方法处理。443例患者随访1～10个月,全部患者在1个月内排净结石。结论输尿管镜下气压弹道碎石术治疗输尿管结石安全、可靠、创伤小、成功率高、并发症少,做好患者输尿管镜下气压弹道碎石术的围术期护理是成功的重要因素之一。

Objective To investigate the nursing care method and prevention of the complications and method of ureteral calculi patients treated by ureteroscopic pneumatic lithotripsy. Methods Four hundreds and sixty-four patients with ureteral calculi were treated by ureteroscopic pneumatic lithotripsy,with strengthened peri-operational nursing. Results After the treatment, the overall stone-free rate was 95.5 % （443/464 cases）. Theureteral stricture, urethral submucosa pesudocanal and calculi shift to the renal pelvis occurred in 11,8,14 cases, respectively and were treated by other methods. 443 cases were follow-uped within 1 to 10 months and the stone-free rate was 100% within one months. Conclusion Ureteral calculi treated by ureteroscopic pneumatic lithotrips is safe and effective with less invasion, less complications, which is very important to strengthened peri-operational nursing.