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薛梦怡.一次性电子输尿管软镜钬激光碎石术治疗肾结石和输尿管上段结石的护理效果[J].中国医药科学,2022,(4):119-121        基金项目:
一次性电子输尿管软镜钬激光碎石术治疗肾结石和输尿管上段结石的护理效果
Nursing effect of renal calculi and upper ureteral calculi treated by single-use digital flexible ureteroscopic holmium laser lithotripsy
  
DOI:
中文关键词:  一次性电子输尿管软镜;钬激光碎石;肾结石;输尿管上段结石;围手术期护理
英文关键词:Single-use digital flexible ureteroscope; Holmium laser lithotripsy; Kidney stones; Upper ureteral calculi; Perioperative nursing
作者单位
薛梦怡 北京市垂杨柳医院泌尿外科,北京 100022 
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中文摘要:
      [摘要] 目的 本研究探讨一次性电子输尿管软镜钬激光碎石术治疗肾结石和输尿管上段结石围手术期护理的效果。 方法 2020年7月至2021年4月北京市垂杨柳医院泌尿外科使用一次性电子输尿管软镜进行钬激光碎石术治疗肾结石和输尿管上段结石115例,男85例、女30例,肾结石25例、输尿管结石90例。围手术期管理全程采用优质护理。术后12周复查腹部平片和B超,评估排石效果。 结果 全部患者手术过程顺利。手术时间30~62 min。术后出现输尿管石街6例,其中4例行体外碎石,2例行第二次输尿管镜取石。术后2例体温>39℃,给予抗生素控制感染。输尿管支架留置4~8周不等。术后12周复查,结石排净率为96.5%(111/115)。本研究病例中,未出现输尿管穿孔、出血、狭窄等严重并发症。 结论 一次性电子输尿管软镜钬激光碎石术治疗肾结石和输尿管上段结石安全有效,围手术期行优质护理起到重要作用。
英文摘要:
      [Abstract] Objective To investigate the perioperative nursing effect of single-use digital flexible ureteroscopic holmium laser lithotripsy for renal calculi and upper ureteral calculi. Methods From July 2020 to April 2021, 115 cases of renal calculi and upper ureteral calculi were treated by holmium laser lithotripsy with single-use digital flexible ureteroscope in urology department of Beijing Chuiyangliu Hospital, including 85 males and 30 females, 25 renal calculi and 90 ureteral calculi. High-quality care throughout the perioperative management. Abdominal plain radiography and B ultrasound were performed 12 weeks after operation to evaluate the effect of stone removal. Results All patients underwent smooth operation. The operation lasted from 30 minutes to 62 minutes. There were 6 cases of ureteral steinstrasse, 4 of which underwent extracorporeal shock wave lithotripsy and 2 underwent second ureteroscopic lithotripsy. After operation, the body temperature of 2 cases was higher than 39℃, and antibiotics were given to control infection. Ureteral stents were indwelled from 4 to 8 weeks. 12 weeks after surgery, the stone removal rate was 96.5% (111/115). In this group of cases, no ureteral perforation, bleeding, stenosis and other complications occurred. Conclusion Single-use digital flexible ureteroscopic holmium laser lithotripsy is safe and effective in the treatment of renal calculi and upper ureteral calculi, and perioperative nursing plays an important role in case management.
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