| 410 | 48 | 86 |
| 下载次数 | 被引频次 | 阅读次数 |
目的:探讨双J管留置时间与相关并发症发生率的关系,以及各项并发症的相关防治措施。方法:将102名患者以留置双J管时间的不同分组,留置时间1个月的患者为组Ⅰ,留置时间3个月的患者为组Ⅱ。回顾性分析留置时间与并发症发生率的关系。结果:组Ⅰ、组Ⅱ患者中各项并发症的发生率分别为:尿路感染73.7%、80.0%;膀胱刺激症43.9%、68.9%;血尿10.5%、23.6%;腰痛26.3%、60.0%;异物感24.6%、44.4%;双J管表面结石形成24.6%、64.4%;双J管移位0.0%、4.4%;两组患者均未发生拔管困难。两组患者中尿路感染的发生率差异无统计学意义(P>0.05),膀胱刺激症、血尿、腰痛、异物感的发生率差异有统计学意义(P<0.05),双J管表面结石形成的发生率差异有统计学意义(P<0.01),由于样本量不足,双J管移位与拔管困难的数据无法有效比较。结论:双J管留置时间的长短在一定程度上决定大多数并发症的发生率大小。
Abstract：Objective:To explore the relationship between the indwelling time of double-J stent and the incidence of related complications,and the related prevention and treatment measures of various complications.Methods:102patients were divided into two groups according to the indwelling time of double-J stent:one-month group,and three-month group.A retrospective analysis was performed about the relationship between the indwelling time and the incidence of various complications.Results:The incidence of complicationsfin one-month group and three-month group was:urinary tract infection 73.7% vs.80.0%;bladder irritative symptoms 43.9% vs.68.9%;hematuria10.5%vs.23.6%;lumbago 26.3% vs.60.0%;foreign body sensation 24.6% vs.44.4%;stones attached to the double-J stent 24.6%vs.64.4%;double-J stent shift 0.0%vs.4.4%,respectively.All patients had no extubation difficulties.The incidence of urinary tract infection showed no statistically significant difference between two groups(P>0.05).There was significant difference in the incidence of bladder irritative symptoms,hematuria,lumbago and foreign body sensation between two groups(P<0.05).In addition,the difference in the incidence of stones attached to the double-J stent was statistically significant(P<0.01).Due to insufficient sample size,the data of double-J stent shift and extubation difficulties cannot be effectively compared between two groups.Conclusions:The length of the indwelling time of double-J stent decides the size of the incidence of most complications to some extent.
[1]Al-Busaidy SS,Prem AR,Medhat M.Pediatric staghorn calculi:the role of extracorporeal shock wave lithotripsy monotherapy with special reference to ureteral stenting.J Urol,2003,169(2):629-633.
[2]Damiano R,Oliva A,Esposito C,et al.Early and late complications of double pigtail ureteral stent.Urol Int,2002,69(2):136-140.
[3]Dyer RB,Chen MY,Zagoria RJ,et al.Complications of ureteral stent placement.Radiographics,2002,22(5):1005-1022.
[4]Hao P,Li W,Song C,et al.Clinical evaluation of double-pigtail stent in patients with upper urinary tract diseases:report of 2685 cases.J Endourol,2008,22(1):65-70.
[5]Dallo SF,Weitao T.Insights into acinetobacter warwound infections,biofilms,and control.Adv Skin Wound Care,2010,23(4):169-174.
[6]白遵光,王昭辉,王树声,等.预防双J管结石形成临床观察.中国医药导报,2006,3(23):104-105.
[7]Yeniyol CO,Tuna A,Yener H,et al.Bacterial colonization of double J stents and bacteriuria frequency.Int Urol Nephrol,2002,34(2):199-202.
[8]Beddingfield R,Pedro RN,Hinck B,et al.Alfuzosin to relieve ureteral stent discomfort:aprospective,randomized,placebo controlled study.J Urol,2009,181(1):170-176.
[9]Docimo SG,Dewolf WC.High failure rate of indwelling ureteral stents in patients with extrinsic obstruction:experience at 2institutions.J Urol,1989,142(2Pt 1):277-279.
[10]Joshi HB,Stainthorpe A,Macdonagh RP,et al.Indwelling ureteral stents:evaluation of symptoms,quality of life and utility.J Urol,2003,169(3):1065-1069.
[11]Singh I,Gupta NP,Hemal AK,et al.Severely encrusted polyurethane ureteral stents:management and analysis of potential risk factors.Urology,2001,58(4):526-531.
[12]李云龙,白先忠,莫曾南,等.尿石标本及双"J"管沉着结石的化学成分分析.现代泌尿外科杂志,2006,11(6):336-337.
[13]Tefekli A,Esen T,Ziylan O,et al.Metabolic risk factors in pediatric and adult calcium oxalate urinary stone formers:is there any difference?Urol Int,2003,70(4):273-277.
[14]Ringel A,Richter S,Shalev M,et al.Late complications of ureteral stents.Eur Urol,2000,38(1):41-44.
[15]Chander J,Dangi AD,Gupta N,et al.Evaluation of the role of preoperative double-J ureteral stenting in retroperitoneal laparoscopic pyelolithotomy.Surg Endosc,2010,24(7):1722-1726.
[16]Vallejo Herrador J,Burgos Revilla FJ,Alvarez Alba J,et al.Double J ureteral catheter.Clinical complications.Arch Esp Urol,1998,51(4):361-373.
[17]Menezes P,Gujral S,Elves A,et al.Ureteroscopic retrieval of proximally displaced ureteric stents using triradiate grasping forceps.Br J Urol,1998,81(5):758-759.
[18]Cevik I,Dillioglugil O,Akdas A,et al.Is stent placement necessary after uncomplicated ureteroscopy for removal of impacted ureteral stones?J Endourol,2010,24(8):1263-1267.
基本信息:
DOI：10.19558/j.cnki.10-1020/r.2015.06.012
中图分类号:R699
引用信息:
[1]王珅,陈志强.双J管留置时间与相关并发症发生率关系的分析[J].微创泌尿外科杂志,2015,4(06):359-363.DOI:10.19558/j.cnki.10-1020/r.2015.06.012.