围手术期护理对腔镜下激光碎石术患者的作用

目的 探讨围手术期护理对腔镜下激光碎石术患者的作用.方法 回顾性分析110例因输尿管结石需行腔镜下激光碎石术患者的围手术期护理过程.围手术期护理过程包括术前心理疏导,术后针对留置导尿管、双J管及手术并发症的护理以及出院指导.总结围手术期护理的效果.结果 110例患者中2例因结石上移入肾盂而改行体外震波碎石治疗,1例因输尿管扭曲伴息肉致腔镜不能向上插入而改开放手术,1例因结石坚硬未能全部击碎,3周后行二次激光碎石成功,其余106例患者均顺利康复.110例术后均出现轻重不等的肉眼血尿,大多于术后1～4 d血尿消失.所有患者均未发生输尿管穿孔、撕脱、脓肾等并发症.结论 正确的围手术期护理是患者顺利康复的重要因素之一,在临床护理工作中应给予足够的重视.

Perioperative nursing of Nd:YAG laser lithotripsy with ureteroscope

Objective To explore the role of the perioperative nursing in ND: YAG laser lithotripsy with ureteroscope. Methods One hundred and ten patients were enrolled. Psychotherapy was applied before operation. Nursing of catheter after operation and nursing of double J ureteral stent and complications after operation were also used,with medical guidance given after discharge. Results In 110 cases of patients,2 cases had extracorporeal shock wave lithotripsy due to stones on the line into the renal pelvis. 1 patient had an open surgery due to ureteral polyp and distortion to endoscopic insertion failure. 1 case failed as stones were too hard to crush. 106 cases recov-ered smoothly. Hhematuria disappeared in most patients in 1-4 days after operations. No complications such as ureteralperforation, avulsion, bleeding, septic kidney occured. Conclusion Psychotherapy before operation and proper perioperative nursing are important factors for patients'healing.