双J管留置时间与相关并发症发生率关系的分析

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摘要目的:探讨双J管留置时间与相关并发症发生率的关系,以及各项并发症的相关防治措施。方法:将102名患者以留置双J管时间的不同分组,留置时间1个月的患者为组Ⅰ,留置时间3个月的患者为组Ⅱ。回顾性分析留置时间与并发症发生率的关系。结果:组Ⅰ、组Ⅱ患者中各项并发症的发生率分别为:尿路感染73.7%、80.0%;膀胱刺激症43.9%、68.9%;血尿10.5%、23.6%;腰痛26.3%、60.0%;异物感24.6%、44.4%;双J管表面结石形成24.6%、64.4%;双J管移位0.0%、4.4%;两组患者均未发生拔管困难。两组患者中尿路感染的发生率差异无统计学意义(P>0.05),膀胱刺激症、血尿、腰痛、异物感的发生率差异有统计学意义(P<0.05),双J管表面结石形成的发生率差异有统计学意义(P<0.01),由于样本量不足,双J管移位与拔管困难的数据无法有效比较。结论:双J管留置时间的长短在一定程度上决定大多数并发症的发生率大小。

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	王珅
	陈志强

关键词 ：双J管, 留置时间, 并发症, 防治措施

Abstract：Objective: To explore the relationship between the indwelling time of double-J stent and the incidence of related complications, and the related prevention and treatment measures of various complications. Methods: 102 patients were divided into two groups according to the indwelling time of double-J stent: one-month group, and three-month group. A retrospective analysis was performed about the relationship between the indwelling time and the incidence of various complications. Results: The incidence of complicationsfin one-month group and three-month group was: urinary tract infection 73.7% vs. 80.0%; bladder irritative symptoms 43.9% vs. 68.9%; hematuria 10.5% vs. 23.6%; lumbago 26.3% vs. 60.0%; foreign body sensation 24.6% vs. 44.4%; stones attached to the double-J stent 24.6% vs. 64.4%; double-J stent shift 0.0% vs. 4.4%, respectively. All patients had no extubation difficulties. The incidence of urinary tract infection showed no statistically significant difference between two groups (P>0.05). There was significant difference in the incidence of bladder irritative symptoms, hematuria, lumbago and foreign body sensation between two groups (P<0.05). In addition, the difference in the incidence of stones attached to the double-J stent was statistically significant (P<0.01). Due to insufficient sample size, the data of double-J stent shift and extubation difficulties cannot be effectively compared between two groups. Conclusions: The length of the indwelling time of double-J stent decides the size of the incidence of most complications to some extent.

Key words： double-j stent indwelling time complications prevention and treatment measures

收稿日期: 2015-09-21

ZTFLH:

R69

通讯作者: 陈志强 E-mail: zhqchen8366@163.com

引用本文:

王珅,陈志强. 双J管留置时间与相关并发症发生率关系的分析[J]. 微创泌尿外科杂志, 2015, 4(6): 359-363.
Wang Shen , Chen Zhiqiang. Relationship between the indwelling time of double-J stent and the incidence of related complications. JOURNAL OF MINIMALLY INVASIVE UROLOGY, 2015, 4(6): 359-363.

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http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/abstract/abstract834.shtml 或 http://journal20.magtechjournal.com/Jwk_zgmnwk/CN/Y2015/V4/I6/359

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