期刊文献+

输尿管支架管留置时间对老年输尿管软镜碎石取石术患者并发症及净石率的临床分析 被引量:9

Effect of time of ureteral stent indwelling on complications and lithotripsy rate in elderly patients undergoing flexible ureteroscopic lithotripsy
下载PDF
导出
摘要 目的探讨输尿管支架管不同留置时间对老年输尿管软镜碎石取石术后并发症及净石率的影响,为治疗该病症提供临床参考。方法选取2017年6月-2018年6月于常熟市第一人民医院收治的老年上尿路结石患者80例,随机分为观察组和对照组,每组40例。所有患者均采用输尿管软镜碎石术,术后均留置输尿管支架管引流,观察组留置2周,对照组留置4周。评估并比较2组患者输尿管支架管相关并发症发生率、拔管后4周的净石率、术后6周患者生活质量和术后3个月患者肾功能恢复情况。结果观察组尿路感染和膀胱刺激并发症发生率均明显低于对照组(P<0.05),观察组腰腹疼痛比率以及肉眼血尿比率均低于对照组(P<0.05)。拔管后4周观察组的净石率与对照组的差异无统计学意义(87.5%vs 92.5%,P>0.05)。观察组术后平均生活质量评分明显高于对照组(P<0.05)。术后3个月2组患者肾脏功能差异均无统计学意义(P>0.05)。结论输尿管软镜碎石取石治疗老年患者上段输尿管非嵌顿结石和肾结石留置输尿管支架管2周安全有效,能降低术后相关并发症且不影响净石率,并能提高患者术后生活质量。 Objective To investigate the effect of different indwelling time of ureteral stent on complications and stonefree rate of elderly patients after flexible ureteroscopic lithotripsy,and provide clinical reference for the treatment of the disease.Methods 80 elderly patients in First People’s Hospital of Changshu with upper urinary tract stones treated from June 2017 to June2018 were randomly divided into observation group and control group,40 cases each group.All patients were treated with soft ureter lithotripsy,and drainage catheter was placed after operation.The observation group was kept for 2 weeks and the control group was kept for 4 weeks.The incidence of complications related to ureteral stent,the stone removal rate at 4 weeks after extubation,the quality of life at 6 weeks after operation and the recovery of renal function at 3 months after operation of 2 groups were evaluated and compared.Results The incidence of urinary tract infection and bladder stimulation complications in the observation group were significantly lower than those of the control group(P<0.05),and the incidence of lumbar abdominal pain and gross hematuria of the observation group were lower than that of the control group(P<0.05).4 weeks after extubation,there was no significant difference between the observation group and the control group(87.5%vs 92.5%,P>0.05).The average quality of life score of the observation group was significantly higher than that of the control group(P<0.05).There was no significant difference in renal function between the two groups 3 months after operation(P>0.05).Conclusion Flexible ureteroscopic lithotripsy is safe and effective for the treatment of upper ureteral non-incarcerated calculi and renal calculi in elderly patients with ureteral stent for 2 weeks.It can reduce postoperative complications without affecting the stone clearance rate and improve quality of life of the patients.
作者 周文俊 范志江 屠文健 丁立 范波 曹文新 Zhou Wenjun;Fan Zhijiang;Tu Wenjian;Ding Li;Fan Bo;Cao Wenxin(Department of Urology,Changshu Hospital Affiliated to Suzhou University(First People's Hospital of Changshu),Changshu,Jiangsu Province,215500,P.R.China;Department of Radiology,Songjiang Central Hospital,Shanghai,201600,P.R.China)
出处 《老年医学与保健》 CAS 2020年第3期468-471,共4页 Geriatrics & Health Care
关键词 老年 输尿管支架管 输尿管软镜 输尿管上段结石 肾结石 净石率 elderly ureteral stent flexible ureteroscope upper ureteral calculi kidney calculi stone clearance rate
  • 相关文献

参考文献4

二级参考文献36

  • 1陈丽.泌尿外科老年手术患者的护理风险因素分析与安全防范[J].中文科技期刊数据库(全文版)医药卫生,2016(7):4-4. 被引量:1
  • 2陈勇,潘文博,赖广平,梁聪.经皮肾镜取石术治疗肾结石(附56例报告)[J].广西医学,2006,28(5):681-682. 被引量:22
  • 3钱庆鹏,张晓春,那彦群.经皮肾镜取石术的并发症与对策[J].临床泌尿外科杂志,2007,22(7):491-493. 被引量:131
  • 4Albala DM,Assimos DG,Clayman RV. Lower pole 1:a prospectiv e randomized trial of extraeorporeal shock wave lithotripsy and pereutaneous nephmstolithotomy for lower pole nephrolithiasisinitial results[J].{H}Journal Of Urology,2001,(6):2072-2080.
  • 5Preminger GM,Assimos DG,Lingeman JE. Chapter 1:AUA guideline on management of staghorn calculi:diagnosis and tréatmefit recommendations[J].{H}Journal Of Urology,2005,(6):1991-2000.
  • 6Elene J,Bettina N,Palle J. Retrograde intrarenal stone surgery for extraeorporeal shock-wave lithotripsy~ resistant kidney stones[J].{H}SCANDINAVIAN Journal OF UROLOGY AND NEPHROLOGY,2006,(5):380-384.
  • 7Tuma B,stein RJ,Smalbone MC. Safely and efficaey of flexible ureterorenoseopy and holmium:YAG lithotripsy for intrarenal stones[J].Can Juro,2009,(6):4915-4920.
  • 8Alberto Breda,Oreoluwa Ogunyemi,John T. Leppert,John S. Lam,Peter G. Schulam.Flexible Ureteroscopy and Laser Lithotripsy for Single Intrarenal Stones 2 cm or Greater—Is This the New Frontier?[J]. The Journal of Urology . 2008 (3)
  • 9F.G.El‐Anany,H.M.Hammouda,H.A.Maghraby,M.A.Elakkad.Retrograde ureteropyeloscopic holmium laser lithotripsy for large renal calculi[J]. BJU International . 2002 (9)
  • 10MICHAEL GRASSO,MICHAEL CONLIN,DEMETRIUS BAGLEY.RETROGRADE URETEROPYELOSCOPIC TREATMENT OF 2 CM. OR GREATER UPPER URINARY TRACT AND MINOR STAGHORN CALCULI[J]. The Journal of Urology . 1998 (2)

共引文献175

同被引文献79

引证文献9

二级引证文献26

相关作者

内容加载中请稍等...

相关机构

内容加载中请稍等...

相关主题

内容加载中请稍等...

浏览历史

内容加载中请稍等...
;
使用帮助 返回顶部