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目的:探讨双J管在上尿路梗阻性疾病中应用疗效及并发症防治。方法:对64例复杂性肾结石、输尿管结石、肾盂输尿管连接部狭窄者在上尿路应用双J管进行内支架和内引流,并随访观察。结果:1例双J管自动脱落,1例因异物排斥反应提前拔管。无明显腰痛酸胀及膀胱刺激症状,手术病人无切口感染和尿漏,无1例双J管堵塞、滞留。置管3月后,患者肾脏功能与形态均有明显改善或恢复正常。结论:双J管在上尿路疾病中疗效肯定,并发症少,易于掌握,可缩短住院时间,值得推广应用。
Objective: To explore the double J tube in the treatment of upper urinary tract obstructive diseases and prevention and treatment of complications. Methods: Sixty-four patients with complex renal calculus, ureteral calculi and ureteropelvic junction stenosis were treated with double J tube in the upper urinary tract for follow-up. Results: One case of double J tube was automatically shed and one case was extubated due to rejection of foreign body. No significant back pain and soreness and bladder irritation, surgical incision infection and urine leakage, no case of double J tube blockage, retention. After 3 months of catheterization, the renal function and morphology of patients were significantly improved or returned to normal. Conclusion: The double J tube is effective in upper urinary tract diseases with fewer complications and easy to grasp, which can shorten the length of hospital stay and is worth popularizing and applying.