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留置带线双J管并早期拔除在输尿管镜 术后的应用
Application of indwelling double J tube with line and early extraction after ureteroscopy
收稿日期:2022-05-07  修订日期:2022-05-28
DOI:
关键词:  输尿管镜  带线双J管  早期拔除
Key Words:Ureteroscopy  Double J tube with line  Early extubation
基金项目:绍兴市柯桥区科技项目(2020KZ52)
作者单位
叶华建 绍兴第二医院泌尿外科浙江绍兴 312000 
蒋斌勋 浙江树人大学树兰国际医学院附属树兰杭州医院精神卫生科浙江杭州 310016 
李恭会 浙江大学医学院附属邵逸夫医院泌尿外科浙江杭州 310016 
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摘要:目的 探讨输尿管镜术后留置带线双J管并早期拔除的应用价值。方法 选取2018年2月至2020年12月绍兴第二医院收治的60例输尿管结石患者纳入研究,根据随机数字表法将其分为观察组和对照组,每组各30例。观察组患者术后留置带线双J管,3d后自行牵拉尾线拔除;对照组患者术后留置常规双J管,2周后在膀胱镜下拔除。观察两组患者留管期间生活质量评分(quality of life score,QOL)、拔管成功率、拔管时疼痛视觉模拟评分法(visual analogue scale,VAS)评分、并发症发生率、排尿恢复时间和住院费用。结果 观察组患者的VAS评分、QOL评分、平均费用、血尿和尿路感染发生率均显著低于对照组(P<0.05),排尿恢复时间显著短于对照组(P<0.05),两组患者的漏尿、输尿管狭窄、拔管成功率比较差异均无统计学意义(P>0.05)。结论 对非复杂性结石,输尿管镜术后留置带线双J管并早期拔除,安全性高,可减轻患者痛苦,降低并发症发生率和住院费用,改善患者的生活质量。
Abstract:Objective To explore the application value of indwelling double J tube with line and early extraction after ureteroscopy. Methods Sixty patients with ureteral calculi admitted to Shaoxing Second Hospital from February 2018 to December 2020 were selected into the study, and were divided into observation group and control group according to random number table method, with 30 cases in each group. Patients in observation group were indwelled with double J tube after operation, and then pulled the tail line by themselves after 3 days. Patients in control group were indwelled with conventional double J tubes after operation and removed under cystoscope 2 weeks later. Quality of life score (QOL), success rate of extubation, visual analogue scale (VAS) score of pain during extubation, incidence of complications, recovery time of urination and hospitalization expenses were observed. Results The VAS score, QOL score, average cost, the incidence of hematuria and urinary tract infection in observation group were significantly lower than those in control group (P<0.05), and the recovery time of urination was significantly shorter than that in control group (P<0.05). There were no significant differences in urine leakage, ureteral stricture and extubation success rate between the two groups (P>0.05). Conclusion For non–complex calculi, indwelling double J tube with line and early extraction after ureteroscopy is safe, which can alleviate the pain of patients, reduce the incidence of complications and hospitalization expenses, and improve the quality of life of patients.
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