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微创泌尿外科杂志  2018, Vol. 7 Issue (5): 318-321    DOI: 10.19558/j.cnki.10-1020/r.2018.05.008
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输尿管软镜碎石术后双J管留置时间的对照研究
张路生1, 谢宗兰1, 陈晓波1, 董自强1, 董传江1
1三峡大学第一临床医学院泌尿外科 443000 湖北宜昌
A randomized controlled study on indwelling time and drainage of double J tube after flexible ureteroscope lithotripsy
Zhang Lusheng1, Xie Zonglan1, Chen Xiaobo1, Dong Ziqiang1, Dong Chuanjiang1
1Department of Urology, the First College of Clinical Medical Science, China Three Gorges University, Yichang 443003, China
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摘要 目的比较双J管不同留置时间对输尿管软镜碎石术后排石效果及并发症发生率的影响。方法采用前瞻性研究方法,依据纳入标准,按照术后双J留置时间,将输尿管软镜碎石术后留置双J管140例患者,随机分为1周拔管组及4周拔管组,每组70例。比较分析两组手术后清石率、并发症发生率。P<0.05为差异有统计学意义。结果1周拔管组和4周拔管组结石大小分别为(1.6±0.3)和(1.5±0.4)cm(P>0.05), 4周拔管组尿路感染、膀胱刺激并发症发生率高于1周拔管组,差异有统计学意义(P<0.05),两组间腰痛、血尿、并发症发生率等方面差异无统计学意义(P>0.05),术后1个月总清石率分别为88.6%(62/70)和94.2%(66/70),差异无统计学意义(P>0.05)。结论输尿管软镜联合钬激光碎石术后双J管留置1周安全有效,在减少并发症发生的同时不影响残石清除率。
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张路生
谢宗兰
陈晓波
董自强
董传江
关键词 输尿管软镜钬激光碎石双J管留置时间    
AbstractObjective:To compare the effect of different double J tube indwelling durations on ureteral lithotripsy after flexible ureteroscopic lithotripsy and the incidence of complications. Methods:According to the inclusion criteria and the time of extubation, a prospective study was conducted on 140 patients who were randomly divided into one-week extubation group and four-week extubation group, 70 cases in each group. The stone clearance rate and the incidence of complications were compared and analyzed between the two groups. Probability (P) value of less than 0.05 was taken to indicate statistical significance. Results:The stone size in one-week extubation group and four-week extubation group was (1.6±0.3) and (1.5±0.4) cm (P>0.05), respectively. The incidence of urinary tract infection and bladder irritation complication in four-week extubation group was significantly higher than that in one-week extubation group (P<0.05). There was no significant difference in the incidence of low back pain and hematuria between the two groups (P>0.05). After 1 month, the total stone clearance rates in one-week extubation group and four-week extubation group were 88.6% (62/70) and 94.2% (66/70) (P>0.05). Conclusions:One-week indwelling time after flexible ureteroscopy combined with holmium laser lithotripsy indwelling double J tube is safe and effective, which reduces the incidence of complications without affecting the residual stone clearance rate.
Key wordsureteroscopy    holmium laser lithotripsy    indwelling time
收稿日期: 2018-04-07     
ZTFLH:  R693.4  
基金资助:国家自然科学基金项目(81300626); 湖北省卫生计生委科研项目(WJ2017M224); 湖北省自然科学基金(2018CFB490)
通讯作者: 董传江,dongcj2013@163.com   
引用本文:   
张路生, 谢宗兰, 陈晓波, 董自强, 董传江. 输尿管软镜碎石术后双J管留置时间的对照研究[J]. 微创泌尿外科杂志, 2018, 7(5): 318-321.
Zhang Lusheng, Xie Zonglan, Chen Xiaobo, Dong Ziqiang, Dong Chuanjiang. A randomized controlled study on indwelling time and drainage of double J tube after flexible ureteroscope lithotripsy. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2018, 7(5): 318-321.
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