摘要
目的 探讨双J管在上尿路梗阻性疾病中应用效果。 方法 回顾性分析 1986年以来 142 2例病人使用双J管的资料。 结果 开放手术使用双J管者术后住院时间平均 (7.99± 0 .93)d ,未置双J管者的术后住院时间平均 (13 .5 6± 7.5 3)d ,两者差别有极显著性意义 ,P <0 .0 1。吻合口漏尿和伤口感染发生率双J管组为 0 .1%和 2 .3% ,而未置双J管组为 5 .1%和 5 .7% ,两者比较差别有极显著性意义 ,P <0 .0 1。 结论 双J管的应用对防止上尿路手术后漏尿和狭窄 ,术后病情恢复具有重要作用 ,为一些特殊类型的上尿路梗阻治疗提供了有效手段。双J管应用并发症 :较轻者有管壁尿盐沉着、血尿、膀胱刺激症状、腰胁部疼痛 ,严重者有双J管移位、尿路感染、管腔阻塞、取管困难。
Objective To evaluate double J ureteral catheters in the management of upper urinary tract obstructions. Methods The clinical data of 1 422 cases underwent double J ureteral stent were reviewed. Results The mean hospitalization time in patients receiving double J ureteral stent after open operation was 7.99±0.93 days,and 13.56±7.53 days in patients without double J ureteral stent, P <0.01. The urine leakage rate and wound infection rate was 0.1% and 2.3% in patients with double J stent, 5.1 % and 5.7 % in patients without double J stent, P <0.01. Conclusions Double J ureteral stent was very helpful in preventing urine leakage and ureter stricture. In addition, it also provided a therapeutical means for some special kinds of upper urinary tract obstruction. However, complications may occur with short or long term use of indwelling stents.These complications vary from minor side effects such as encrustation, hematuria, dysuria and flank pain to major complications such as stent migration, urinary infection, stent obstruction, and difficulty on removal.
出处
《中华泌尿外科杂志》
CAS
CSCD
北大核心
2001年第2期92-94,共3页
Chinese Journal of Urology
关键词
尿路梗阻
引流
双J支架
Urinary tract obstruction
Drainage
Double J stent
