简单输尿管结石钬激光碎石术后留置输尿管导管与双J管的对比研究

Comparison of indwelling ureteral catheter and double J tube after holmium laser lithotripsy under ureteroscopy

摘要:

目的 探讨简单输尿管结石钬激光碎石术后留置输尿管导管与双J管的安全性和有效性。方法 前瞻性研究该院2018年1月－2019年1月收治的66例简单输尿管结石行输尿管镜钬激光碎石术的患者资料。采用随机数字表法分成观察组（输尿管导管组32例）和对照组（双J管组34例），将病程长短、结石大小、结石硬度、手术时间和术后并发症（如膀胱刺激征、残石率、血尿和尿路感染等）作为评价指标。结果 两组患者发病病程、结石大小、结石硬度、手术时间和术后残石率比较，差异均无统计学意义（P > 0.05）。观察组术后膀胱刺激征、血尿和尿路感染发生率明显低于对照组（P < 0.01），且治疗费用观察组有明显优势（P < 0.01）。结论 对于简单输尿管结石患者，术后留置输尿管导管替代双J管可减轻患者痛苦、降低医疗费用和减少并发症的发生率。

Abstract:

Objective To investigate the safety and effectiveness of indwelling ureteral catheter and double J tube after simple ureteral calculi and holmium laser lithotripsy.Methods From January 2018 to January 2019, we prospectively collected 66 hospitalized patients with simple ureteral stonestreated with pneumatic ballistic lithotripsy, and randomly divided them into the observation group (n = 32) and control group (n = 34). Course of disease, stone size, stone hardness, operation time, postoperative complications (bladder irritation, residual stone rate, hematuria and urinary tract infection) were compared between the two groups.Results Comparison of disease course, stone size, stone hardness, operation time and postoperative residual stone rate between the two groups, the differences were not statistically significant (P > 0.05). The incidences of bladder irritation symptoms, hematuria and urinary tract infection in the observation group were significantly less than those in control group (P < 0.01), but the treatment cost observation group has obvious advantages.Conclusion For patients with simple ureteral calculi, postoperative indwelling ureteral catheter instead of double "J" tube can reduce patient suffering, reduce medical costs and reduce the incidence of complications.