术前留置双J管时间对经尿道输尿管软镜碎石术治疗上尿路结石的影响

Effect of indwelling double J tube time before operation on upper urinary tract calculus treated by flexible ureteral lithotripsy

摘要:

目的 探讨术前留置双J管时间对经尿道输尿管软镜碎石术（FURL）治疗上尿路结石的有效性和安全性。方法 选取该院行经尿道FURL治疗的上尿路结石患者135例，以术前留置双J管时间的不同，将患者分为A组（留置1周）、B组（留置2周）和C组（留置1个月），各45例。比较3组患者FURL治疗的有效性和安全性。结果 3组患者手术时间、术中出血量、术后住院时间、结石排净时间、通道鞘一次性置入成功率和术后1个月结石清除率比较，差异均无统计学意义（P > 0.05）；A组尿路感染发生率、膀胱刺激征发生率和肉眼血尿发生率明显低于B组和C组，差异均有统计学意义（P < 0.05）；3组患者发热发生率和输尿管壁损伤发生率比较，差异均无统计学意义（P > 0.05）。结论 对于行经尿道FURL治疗上尿路结石的患者，术前留置双J管1周，即可达到理想的手术治疗效果。

Abstract:

Objective To investigate the efficacy and safety of different preoperative indwelling time of double J tube in the treatment of upper urinary tract calculus by transurethral flexible ureteroscopic lithotripsy (FURL).Methods 135 patients with upper urinary tract calculus who underwent transurethral FURL treatment were selected and divided into group A (1 week retention), group B (2 weeks retention) and group C (1 month retention) with 45 cases each according to the time of indentation of double J tubes. The efficacy and safety of FURL treatment in three groups were compared.Results There were no significant differences in operation time, intraoperative blood loss, postoperative hospital stay, stone removal time, success rate of channel sheath implantation at one time and stone clearance rate at one month after operation among the three groups (P > 0.05). The urinary tract infection, irritation sign of bladder and gross hematuria in group A were significantly lower than those of group B and group C (P < 0.05). There were no significant differences in fever and ureteral wall injury among the three groups (P > 0.05).Conclusion In the treatment of upper urinary tract calculus by tranurethral FURL, the double J tube can be implanted for 1 week before operation to achieve ideal surgical treatment effect and reduce the risk of surgical complications.