后腹腔镜下切开取石改良双J管置入方法和效果评价

Method and Effect Evaluation of Modified Double J Tube Implantation Under Retrolaparoscopic Lithotomy

目的分析后腹腔镜下切开取石置入改良双J管的方法及应用效果。方法选取2018年5月—2023年4月福建省武夷山市立医院收治的采用后腹腔镜下切开取石术的134例患者。以随机数字表法分为对照组与观察组,各67例。对照组采用常规后腹腔镜下切开取石置入双J管法,观察组采用后腹腔镜下切开取石改良双J管置入法。比较2组患者双J管置入时间、双J管位置异常率、手术指标、术后恢复指标及术后并发症情况。结果观察组双J管置入时间短于对照组,双J管位置异常率低于对照组,差异有统计学意义(P<0.05)。观察组手术时间、术后康复时间及住院时间短于对照组,且术后引流量少于对照组,差异有统计学意义(P<0.05)。观察组术后并发症总发生率为4.48%,低于对照组的14.93%,差异有统计学意义(P<0.05)。结论接受后腹腔镜下切开取石术的患者应用改良双J管置入方法有助于缩短双J管置入时间,降低双J管位置异常率,可优化手术指标与术后恢复指标,减少并发症。

Objective To analyze the method and application effect of retrolaparoscopic lithotomy with double J tube implantation.Methods A total of 134 patients treated in Wuyishan Municipal Hospital,Fujian Province from May 2018 to April 2023 underwent retroperitoneal laparoscopic lithotomy.They were divided into control group and observation group by random number table,67 cases in each group.The control group was treated with conventional retrolaparoscopic lithotomy and double J tube implantation,and the observation group was treated with modified retrolaparoscopic lithotomy and double J tube implantation.The time of double J tube placement,the abnormal rate of double J tube position,surgical indexes,postoperative recovery indexes and postoperative complications were compared between the two groups.Results The placement time of double J tube in observation group was shorter than that in control group,and the abnormal rate of double J tube was lower than that in control group,the difference was statistically significant(P<0.05).The operation time,postoperative rehabilitation time and hospital stay in the observation group were shorter than those in the control group,and the postoperative drainage volume was less than that in the control group,the difference was statistically significant(P<0.05).The total incidence of postoperative complications was 4.48%in the observation group,which was lower than 14.93%in the control group,the difference was statistically significant(P<0.05).Conclusion The application of the new method of double J tube placement in patients undergoing retrolaparoscopic lithotomy can shorten the time of double J tube placement,reduce the abnormal rate of double J tube position,optimize the surgical indicators and postoperative recovery indicators,and reduce complications.