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目的 :比较上尿路取石术后置内支架引流与外支架引流的优劣。方法 :回顾性调查上尿路取石术后双 J管内引流 46例和外引流 52例的术后恢复及并发症情况 ,并进行统计学处理。结果 :内引流组术后住院天数及腹膜后引流天数明显低于外引流组 ( P <0 .0 1 ) ,术后并发症总发生率内引流组 ( 1 2 .76% )也明显低于外引流组 ( 2 8.85% )。结论 :上尿路取石术后置内引流优于外引流 ,但在肾功能不良、出血较多、下尿路有梗阻和感染时置外引流或同时置内、外引流更为安全可靠。
Objective: To compare the superiority and inferiority of internal stent drainage and external stent drainage after upper urinary tract lithotomy. Methods: The postoperative recovery and complication of 46 cases of double J tube drainage and 52 cases of external drainage were retrospectively investigated and statistically analyzed. Results: The postoperative days of hospitalization and post-retroperitoneal drainage in the drainage group were significantly lower than those in the drainage group (P <0.01). The incidence of postoperative complications was also significantly lower in the drainage group (12.76%) than in the drainage group External drainage group (2 8.85%). Conclusion: Upper urinary tract lithotomy is superior to external drainage in internal drainage, but it is more safe and reliable in renal dysfunction, bleeding, lower urinary tract obstruction and infection when placed outside or at the same time.