摘要
目的探讨超声结合自制钢制圈套器在D-J管拔除术的临床应用价值。方法选取泌尿系结石及输尿管狭窄手术后留置D-J管女性患者50例,行超声结合自制钢制圈套器拔除D-J管。结果 47例一次拔管成功,操作时间2min～6 min,平均时间5 min;3例拔除失败而改用膀胱镜拔除。结论超声结合自制钢制圈套器拔除D-J管,具有制作简单,操作方便快捷,无需腔镜设备,且相比其他方式取管具有减少副损伤、操作更精确、减轻患者经济负担等优点,便于在基层医院开展。
Objective to explore the clinical value of ultrasound combined with self-made steel snare in D-J tube extraction. Methods Fifty female patients with urinary calculi and ureteral stricture who were treated with indwelling D-J catheter were enrolled in this study. Results 47 cases were successfully extubated at one time,the operation time was 2~6 minutes,the average time was 5 minutes,3 cases failed to extubate by cystoscope. Conclusion Ultrasound combined with self-made steel trap for D-J tube removal has the advantages of simple fabrication,convenient operation,no need of endoscopy equipment,less side injury,more precise operation and less economic burden of patients,which is easy to carry out in grass-roots hospitals.
作者
张慧铭
刘财兰
赖清源
周玲
Zhang Huiming;Liu Cailan;Lai Qingyuan(The People's Hospital of Dayu county,Dayu,Jiangxi 341500)
出处
《基层医学论坛》
2019年第10期1420-1421,共2页
The Medical Forum
基金
赣州市指导性科技计划任务(GZ2017ZSF417)
