摘要
目的通过对较长时间(1～3个月)留置的输尿管内双J管拔管时管壁沉积结石成分的分析,为临床预防拔管困难,预防结石形成的治疗提供依据。方法对2000年1月～2008年6月该院腔镜中心膀胱镜室或手术室拔除的128例输尿管双J管管壁沉积结石进行化学成分分析,与原有结石标本化学分析报告,尿常规pH值及白细胞数,置管前、拔管前进行比较。结果双J管沉积结石中尿酸结石、尿酸铵结石明显高于原尿石标本中相应成分(P<0.01)。尿常规pH值无显著改变(P>0.05),白细胞计数有显著改变(P<0.01)。结论双J管管壁沉积结石与膀胱内环境、原有结石病史、导管材质、留置时间有关。
[ Objective] To provide reliable theoretical support to prevent difficult extubation and stone formation, the chemical component analysis of sedimented stone of double ‘J’ catheter were analysed. [Methods] The chemical component and urine of 128 cases of patients with sedimented stones of double ‘J’ catheter and the original stone specimens were comparatively analysed. [Results] The percentages of uric acid stones, the uric acid ammonium stone, and uric and oxalate mixed stones of the double ‘J’ catheter stones were 62.5%, 27.3%, and 18.8% respectively; while those of the original stone specimens were in turn 15.1%, 8.5%, and 3.8%. Significant differences were demonstrated （P 〈0.01）. There was no significant difference of urine PH value （P〉0.05）, but there was significant difference of white blood cell count in the urine（P 〈0.01 ）. [ Conclusion] The chemical component analysis of sedimented stone of double ‘J’ catheter is related with environment of bladder, the original stone, catheter material and retention time.
出处
《中国现代医学杂志》
CAS
CSCD
北大核心
2009年第8期1229-1230,1233,共3页
China Journal of Modern Medicine
关键词
双J管
沉积结石
分析
double ‘J＇ catheter
sedimented stone
component analysis
