肖丹丹. 输尿管软镜联合钬激光碎石术后留置双J管病人发生尿路刺激症的危险因素分析[J]. 蚌埠医科大学学报, 2020, 45(9): 1283-1285, 1290. DOI: 10.13898/j.cnki.issn.1000-2200.2020.09.038
    引用本文: 肖丹丹. 输尿管软镜联合钬激光碎石术后留置双J管病人发生尿路刺激症的危险因素分析[J]. 蚌埠医科大学学报, 2020, 45(9): 1283-1285, 1290. DOI: 10.13898/j.cnki.issn.1000-2200.2020.09.038
    XIAO Dan-dan. Analysis of the risk factors of urinary irritation in patients with indwelling double J-stent after treatment with flexible ureteroscope combined with holmium laser lithotripsy[J]. Journal of Bengbu Medical University, 2020, 45(9): 1283-1285, 1290. DOI: 10.13898/j.cnki.issn.1000-2200.2020.09.038
    Citation: XIAO Dan-dan. Analysis of the risk factors of urinary irritation in patients with indwelling double J-stent after treatment with flexible ureteroscope combined with holmium laser lithotripsy[J]. Journal of Bengbu Medical University, 2020, 45(9): 1283-1285, 1290. DOI: 10.13898/j.cnki.issn.1000-2200.2020.09.038

    输尿管软镜联合钬激光碎石术后留置双J管病人发生尿路刺激症的危险因素分析

    Analysis of the risk factors of urinary irritation in patients with indwelling double J-stent after treatment with flexible ureteroscope combined with holmium laser lithotripsy

    • 摘要:
      目的探讨输尿管软镜联合钬激光碎石术后留置双J管病人发生尿路刺激症的危险因素。
      方法选取275例输尿管结石病人,均经输尿管软镜联合钬激光碎石术后留置双J管。其中210例病人留置双J管期间发生尿路刺激症,设为观察组,其余65例病人设为对照组。收集2组病人的临床资料,进行术后留置双J管病人发生尿路刺激症的影响因素分析。
      结果男性、双J管留置时间>2周、型号较粗(F6型)、输尿管异常、糖尿病为留置双J管病人术后发生尿路刺激症的独立危险因素(P < 0.01),术前控制尿路感染、系统化护理为病人术后发生尿路刺激症的保护性因素(P < 0.01)。
      结论输尿管结石术后留置双J管导致尿路刺激症的影响因素较多,应尽量根据输尿管的实际长度选取适当型号和长度的双J管,尽量提早拔管,同时注意对糖尿病等原发病的控制,术前积极控制尿路感染的发生。

       

      Abstract:
      ObjectiveTo explore the risk factors of urinary irritation in patients with indwelling double J-stent after treatment with flexible ureteroscope combined with holmium laser lithotripsy.
      MethodsA total of 275 patients with ureteral calculi were indwelled with double J-stent after treatment with ureteral flexible ureteroscope combined with holmium laser lithotripsy.Among them, 210 patients with urinary irritation and 65 cases without urinary irritation were divided into the observation group and control group, respectively.The clinical data of two groups were collected, and the influencing factors of urinary irritation in patients with inwelling double J-stent were analyzed.
      ResultsThe male, inwelling double J-stent time > 2 weeks, F6 type, abnormal ureter and diabetes were the independent risk factors of urinary irritation(P < 0.01).The preoperative controlling urinary tract infection and systematic nursing were protective factors of postoperative urinary irritation(P < 0.01).
      ConclusionThe influencing factors of urinary irritation at postoperative indwelling double J-stent after ureterolithiasis are more.The appropriate type and length of the double J-stent should be selected according to the actual length of ureter, the extubation is as early as possible, the primary disease and occurrence of urinary tract infection before surgery should be controlled.

       

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