双J管在泌尿系结石手术中应用的并发症分析

目的探讨双J管在泌尿系结石术中的应用，分析双J管置入的并发症原因。方法对该院2011年1月-2013年6月306例上尿路结石手术留置双J管患者按手术方式分为3组，对临床资料进行回顾性分析。结果306例双J管内引流所致的并发症主要有6种，共62例（20．26％），包括泌尿系感染（31例，50．00％）、肉眼血尿（16例，20．97％）、位置异常（11例，11．29％）、返流（6例，9．68％）、附壁结石（3例，4．84％）、双J管断裂（1例，1．61％），分别给予了对症处理。结论泌尿系结石手术中留置双J管出现的并发症通过积极治疗可避免或减轻。

Analysis of the Complications Occurred During the Use of Double J Tube in Urinary Calculi Operation

Objective To explore the use of double J tube in the operation of calculi in urinary system, and analyze the causes of complications after retention of double J stent in upper urinary tract operations. Methods We studied the clinical data of 306 cases admitted in our hospital from January, 2011 to June, 2013, all the patients received upper urinary tract stone surgery with the use of double J tube, and they were divided into three groups according to the surgical approach. Results The study showed that, of the 306 eases, there were 6 kinds of complications, a total of 62 cases（20.26%）, caused by double J tube drainage, including urinary infection （31 cases, 50.00%）; gross hematuria （16 eases, 20.97%）; malpesition of double J tube （11 cases, 11.29%）; backstreaming （6 cases, 9.68%）; crystal stone in the double J tube surface（3 eases, 4.84%）;fracture of double J tube（1 case, 1.61%）, all extended individual treatment. Condusion Complications can be avoided or mitigated by aggressive treatment after the urinary calculi surgery indwelling double J tube.