逆向顺流冲洗输尿管镜超声碎石治疗输尿管结石的术后护理

Nursing adverse downstream flushing ureteroscopic ultrasound lithotripsy for treatment of ureteral calculi after operation

目的探讨逆向顺流冲洗经输尿管镜超声碎石清石治疗输尿管结石的护理措施。方法回顾性分析我院2013年3月至2014年6月运用逆向顺流冲洗经输尿管镜超声碎石清石治疗30例输尿管结石的临床资料。术前对患者进行心理护理和术后针对并发症护理。结果 30例患者经精心的护理均取得良好的临床疗效,1例结石移位,经体外碎石排出;肉眼血尿18例、术后肾绞痛4例、发热2例(T<38℃)经及时处理和针对性护理均迅速改善;双"J"管移位1例,经输尿管镜取出。无输尿管损伤及尿脓毒症等并发症发生。29例碎石清石成功,清石率96.67%。结论逆向顺流冲洗经输尿管镜超声碎石清石治疗输尿管结石清石率高,术前心理护理和术后针对并发症护理是减少并发症发生和提高手术安全性、促进术后康复的重要措施。

Objective To explore the nursing measures of reverse flow rinsing ureteroscopic ultrasound lithotripsy for the treatment of ureteral calculi .Methods Retrospective analysis of our hospital from 2013 March to 2014 June using the reverse flow rinsing clinical data of ureteroscopic ultrasound lithotripsy in treating 30 ureteral calculus .The patients psychological nursing and preoperative nursing for complications after operation . Results 30 cases of patients with careful nursing can obtain good clinical curative effect , 1 case of calculi translocation, discharged after extracorporeal lithotripsy;2 cases of hematuria , 18 cases of renal colic in 4 cases after operation , postoperative fever （ T〈38℃） after timely treatment and nursing were improved rapidly;shift of 1 cases of double ＂J＂tube, ureteroscopic removal .No ureteral injury and complications such as urinary sepsis . 29 cases of successful lithotripsy , stone clearance rate was 96.67%.Conclusions Reverse flow rinsing ureteroscopic ultrasound lithotripsy in treatment of ureteral calculi stone clearance rate , preoperative psychological nursing and postoperative complication nursing is to reduce complications and the key measure to improve the postoperative rehabilitation security , and promote the quality of operation .