摘要
目的评估留置带线输尿管支架管在输尿管镜碎石术后管理中的应用价值,比较其与传统双J管在安全性、有效性和经济性方面的差异。方法选择2023年4月~2024年5月接受输尿管镜碎石术并留置带线输尿管支架管的10例患者作为实验组,2023年4月~2024年3月接受输尿管镜碎石术并留置传统双J管的10例患者作为对照组。比较两组患者的手术相关指标、术后并发症发生情况、术后舒适度以及经济成本。结果两组手术均顺利完成,留置成功率均为100.0%。两组手术时间、留置成功率比较均无显著差异(P>0.05)。实验组术后泌尿系统感染发生率0显著低于对照组的40.0%(P<0.05)。实验组术后抗生素使用天数(3.2±1.1)d显著短于对照组的(5.7±2.3)d(P<0.05)。术后1、3 d,实验组视觉模拟评分法(VAS)评分分别为(3.2±1.1)、(2.1±0.9)分,显著低于对照组的(4.5±1.3)、(3.6±1.2)分(P<0.05)。实验组二次入院率10.0%、总医疗费用(22217±1025)元显著低于对照组的100.0%、(25000±1342)元(P<0.05)。实验组血尿、膀胱刺激征发生率分别为0、10.0%,显著低于对照组的40.0%、60.0%(P<0.05);两组疼痛发生率比较无显著差异(P>0.05)。结论留置带线输尿管支架管在输尿管镜碎石术后管理中具有显著临床优势,能够有效降低感染率、减轻患者疼痛和减少医疗成本,该方法安全可行,值得在临床实践中推广应用。然而长期效果仍需进一步研究。
Objective To evaluate the application value of indwelling ureteral stent with the extraction string in postoperative management of ureteroscopic lithotripsy,and compare compare their differences in terms of safety,efficacy and economy with conventional double-J tubes.Methods 10 patients who underwent ureteroscopic lithotripsy and indwelled ureteral stent with the extraction string from April 2023 to May 2024 were selected as the experimental group,and 10 patients who underwent ureteroscopic lithotripsy and indwelled conventional double-J tubes from April 2023 to March 2024 were selected as the control group.The surgery related indicators,postoperative complications,postoperative comfort and economic cost of the two groups were compared.Results The operation was successfully completed in both groups,and the success rate of indwelling was 100.0%.There were no significant differences in operation time and success rate of indwelling between the two groups(P>0.05).The incidence of postoperative urinary system infection of 0 in the experimental group was significantly lower than 40.0%in the control group(P<0.05).The days of postoperative antibiotic use of(3.2±1.1)d in the experimental group was significantly shorter than(5.7±2.3)d in the control group(P<0.05).At 1 and 3 d postoperatively,the visual analog scale(VAS)scores of the experimental group were(3.2±1.1)and(2.1±0.9)points,which were significantly shorter than(4.5±1.3)and(3.6±1.2)points in the control group(P<0.05).The experimental group had second admission rate of 10.0%and total medical cost of(22217±1025)yuan,which were significantly lower than 100.0%and(25000±1342)yuan in the control group(P<0.05).The incidence of hematuria and bladder irritation signs in the experimental group were 0 and 10.0%,which were significantly lower than 40.0%and 60.0%in the control group(P<0.05).There was no significant difference in the incidence of pain between the two groups(P>0.05).Conclusion The indwelling ureteral stent with the extraction string has significant clinical advantages after ureteroscopic lithotripsy,which can lower infection rates,reduce patient pain,and reduce healthcare costs.This method is safe and feasible,and is worth promoting in clinical practice.However,the long-term effects still need further study.
作者
耿良凯
王文生
GENG Liang-kai;WANG Wen-sheng(Department of Surgery,Beijing Sijiqing Hospital,Beijing 100097,China)
出处
《中国实用医药》
2025年第7期24-27,共4页
China Practical Medicine
关键词
输尿管镜碎石术
带线输尿管支架管
传统双J管
支架管拔除
Ureteroscopic lithotripsy
Ureteral stent with the extraction string
Conventional double-J tubes
Ureteral stent removal
