论文部分内容阅读
目的:探讨泌尿道结石患者术后留置双J管,不同程度的高尿酸血症以及时间对双J管出现附管结石的影响。方法:在我院2010年1月~2015年12月收治的泌尿系统结石患者中,选择高尿酸血症患者240例,术后均给予留置双J管。分为四组,每组60例,前两组患者血尿酸<500μmol/L,分别给予留置2周和6周;后两组患者血尿酸>500μmol/L,分别给予留置2周和6周,拔出双J管前均复查腹部平片,拔管时在膀胱镜下观察双J管膀胱段的附管结石情况,取出双J管,再次观察双J管其他部位附管结石情况。并对附管结石行结石成分分析。结果:留置2周,对于血尿酸<500μmol/L和血尿酸>500μmol/L的患者出现附管结石的比例分别为11.67%(7例)和18.33%(11例),差异无统计学意义(P>0.05)。留置6周,对于血尿酸<500μmol/L和血尿酸>500μmol/L的患者出现附管结石的比例分别为20.00%(12例)和61.67%(37例),差异有统计学意义(P<0.05)。结论:结石患者中高尿酸血症是易形成结石的高危因素,随着双J管留置时间的延长,出现附管结石的比例增多,特别是对于血尿酸>500μmol/L的患者,应根据患者病情,适当减少双J管的带管时间。
Objective: To investigate the effect of postoperative left double J tube, different degree of hyperuricemia and time on the appearance of double J tube in patients with urolithiasis. Methods: In our hospital from January 2010 to December 2015 admitted to patients with urinary calculi, 240 patients with hyperuricemia were selected, were given double J tube after surgery. Divided into four groups, 60 cases in each group, the first two groups of patients with serum uric acid <500μmol / L were given for 2 weeks and 6 weeks; the latter two groups of patients with serum uric acid> 500μmol / L were given for 2 weeks and 6 weeks, Pull out the double J before the abdomen were examined plain film, extubation in the cystoscopy double J tube of bladder tube section of the stones, remove the double J tube, double J tube again observe the other parts of the stone situation. And stones on the line with stones composition analysis. Results: For 2 weeks, there were 11.67% (7 cases) and 18.33% (11 cases) of tuberculosis in patients with serum uric acid <500μmol / L and serum uric acid> 500μmol / L, respectively. There was no significant difference P> 0.05). After six weeks’ stay, the rates of appendage stones were 20.00% (12 cases) and 61.67% (37 cases) in patients with serum uric acid <500μmol / L and serum uric acid> 500μmol / L, respectively, with statistical significance (P < 0.05). Conclusion: Hyperuricemia is a risk factor for the formation of calculi in patients with calculi. With the prolongation of double J-tube retention time, the proportion of appendage stones increases. Especially for patients with serum uric acid> 500 μmol / L, patients should be treated according to the patient’s condition , Appropriate to reduce the double J tube with tube time.