输尿管镜下气压弹道碎石术治疗输尿管下段结石的手术配合

Nursing and cooperation in ballistic lithoclasty for treatment of lower ureterolith under ureteroscope

目的:总结输尿管镜下气压弹道碎石术治疗输尿管下段结石的手术护理特点及体会。方法:对输尿管镜下气压弹道碎石术治疗的15例输尿管下段结石患者的取石及护理资料进行回顾性分析。结果:15例中,经输尿管镜下气压弹道碎石术成功取出结石14例,成功率为93.33%。患者术后均常规留置双J管。术后2例发生肾绞痛,15例出现不同程度的血尿,均在保守治疗后痊愈出院。结论:输尿管镜下气压弹道碎石术是治疗输尿管下段结石的重要方法,手术室护士应了解手术过程并掌握相关器械及物品的使用方法,与手术医生密切配合,做好术前准备和心理护理亦是保证手术顺利完成的关键。

Objective：To sum up the experience in nursing and cooperation in pneumatic lithotripsy under ureteroscope for treatment of lower ureteral calculi.Methods：The clinical data of 15 cases undergoing ballistic lithoclasty under ureteroscope for lower ureteral calculi were reviewed retrospectively.Results：Among the 15 cases,14 cases were removed of the stone by ballistic lithoclasty under ureteroscope.The success rate was 93.33%.Double J stents were routinely detained in all the cases after the operation.All the cases presented different degrees of hematuria,and 2 cases demonstrated nephric angina which was relieved after conservative therapy.All the patients recovered and were discharged.Conclusions：The ballistic lithoclasty under ureteroscope is effective for treatment of lower ureteral calculi.Operating-room nurses should know the process of ureteroscopic ballistic lithoclasty and property of the apparatus.It is necessary for the operating room nurses to collaborate with the surgeon in the operation.Preoperative preparation and mental nursing are also essential for successful operation.