双J管在肾盂输尿管膀胱手术中的应用

摘要

Objective To explore the effect using double J tube in the surgery for renal pelvis,ureter,and bladder,then to provide some guidelines for clinical treatment.Methods The clinical data of 126 patients undergoing the surgery for renal pelvis,ureter,and bladder at our hospital from September,2011 to September,2014 were retrospectively analyed.According to different surgical methods,the patients were randomly divided into a control group and an experimental group,63 cases for each group.The control group were treated with traditional surgery,and the experimental group double J tube surgery.The surgical effect and postoperative complications were compared between the two groups.Results The average operation time,hospital stay,wound healing time,etc.were significantly shorter in the experimental group than in the control group (P＜0.05).The clinical efficacy was 80.95％ in the control group and was 96.83％ in the experimental group (P＜0.01).The incidence of adverse reactions was significantly lower in the experimental group than in the control group (P ＜0.05).Conclusions Applying double J tube in the patients undergoing surgery for renal pelvis,ureter,and bladder intraoperatively is effective in healing incision,can improve clinical efficacy and reduce adverse reactions,and is worth being clinically generalized.%目的 探究分析使用双J管在肾盂、输尿管、膀胱手术中的应用效果,从而指导临床治疗.方法 采用回顾性分析的方法,分析了我院在2011年9月至2014年9月间收治的126例行肾盂、输尿管、膀胱手术的患者的临床资料,根据手术方法的不同,将本组患者随机分成对照组和实验组,每组各63例,对照组患者给予传统手术治疗,实验组患者给予双J管手术治疗.分析比较两组患者的手术效果以及术后并发症情况.结果 实验组患者的手术时间、住院时间以及切口愈合平均时间等均明显少于对照组(P＜0.05);对照组的临床治疗有效率为80.95％,实验组的临床治疗有效率为96.83％,实验组的临床治疗有效率明显高于对照组(P＜0.01).实验组患者不良反应发生率明显低于对照组(P＜0.05).结论 对于肾盂、输尿管、膀胱手术的患者,术中使用双J管切口愈合效果较好,同时提高临床治疗有效率,减少不良反应,值得临床推广使用.