输尿管镜检气压弹道碎石术后并发症分析及防治

Analysis on treatment and prevention of ureteroscopy pneumatic lithotripsy after the operation

目的探讨输尿管镜检气压弹道碎石术后并发症的防治方法。方法选取2003年1月～2010年3月于笔者所在医院进行输尿管镜检气压弹道碎石术治疗的869例患者为研究对象,将其分为A组(2003年1月～2006年12月组)358例和B组(2007年1月～2010年3月组)511例,后将两组患者的入镜成功率、并发症发生率、手术时间及二次输尿管镜手术率进行统计及分析,并将并发症处理方法进行分析研究。结果经研究比较发现,B组的入境成功率高于A组,并发症发生率及二次输尿管镜手术率低于A组,手术时间短于A组,P均<0.05,均有显著性差异。术后并发症以出血、发热、尿痛、腰痛、穿孔等为主,且A组与B组有一定差异,经对症积极的处理,均痊愈出院。结论提高操作水平及引起重视对输尿管镜检气压弹道碎石术后并发症的预防有积极的作用。

Objective To study the methods on treatment and prevention of Ureteroscopy Pneumatic Lithotripsy after the operation. Methods 869 patients treated with Ureteroscopy Pneumatic Lithotripsy in our hospital from January 2003 to March 2010 were selected as research object, and they were divided into group A （January 2003 to December 2006 group）358 cases and group B（ January 2007 to March 2010 group）511 cases,then the success rate ,incidence of complications,operative time and second operation rate of the two groups were analyzed and studied, and the treatment methods were studied. Results According to the study, the success rate of group B was higher than that of group A,incidence of complications and second operation rates of group B were lower than those of group A, operative time of group B was shorter than that of group A, P 〈 0. 05, there were significant differences. The incidences of hemorrhage, fever, urodynia, low back pain, perforation were higher, and the two groups had differences, all the patients were recovered and discharged after expectant treatment. Conclusion Im- proving operation level and paying more attention play a role in treatment and prevention of Ureteroscopy Pneumatic Lithotripsy after the operation.