间苯三酚用于经尿道膀胱镜下输尿管支架管取出术的临床疗效

Abstract
Figure/Table
References
Related Citation (4)

Download: PDF (605 KB) HTML (1 KB)
Export: BibTeX | EndNote (RIS)

Abstract Objective To investigate the applicability of phloroglucinol in transurethral cystoscopic removal of ureteral stents.Methods A random sample of 300 postoperative patients with upper urinary calculi treated in our hospital between June 2018 and October 2020 was collected. All these subjects were male, who had had their ureteral stents removed under transurethral cystoscopy in our hospital. They were randomly divided into the conventional group (n=100) and the observation group (n=200). Both groups received conventional lidocaine mucilage urethral mucosal surface anesthesia, but the observation group was also intravenously injected with phloroglucinol 80 mg 15 minutes preoperatively. The pain score, urethral mucosal injury, hematuria and adverse reactions were observed.Results There was no adverse drug reaction in the observation group. The level of intraoperative pain of the observation group was significantly lower than that of the conventional group. The incidence of mild pain was 88.9% in the observation group, but 54.6% in the conventional group, so the difference between the two groups was statistically significant (P=0.036). Hematuria was significantly less frequent in the observation group than in the conventional group, and the difference between the two groups was statistically significant (P=0.003). There was no significant difference between the two groups in age, locations of ureteral stents, or indwelling time.Conclusions Phloroglucinol combined with lidocaine mucilage during transurethral cystoscopic ureteral stent removal can significantly alleviate patients' pain and urethral injury without any adverse reactions, so this approach should be made more accessible.

Key words： phloroglucinol transurethral cystoscopy ureteral stent removal

Received: 29 March 2021

ZTFLH:

R320.2

	Service

	E-mail this article
	Add to my bookshelf
	Add to citation manager
	E-mail Alert
	RSS
	Articles by authors
	XU Zhefeng
	YU Liting
	YU Yongtao
	XU Shengli
	HONG Xiang
	ZHANG Qihui
	ZHANG Guoqiang

Cite this article:

XU Zhefeng,YU Liting,YU Yongtao等. Clinical applications of phloroglucinol in the removal of ureteral stents under transurethral cystoscopy[J]. Med. J. Chin. Peop. Armed Poli. Forc., 2021, 32(8): 650-652.

URL:

http://journal08.magtechjournal.com/Jwk_wjyx/EN/ OR http://journal08.magtechjournal.com/Jwk_wjyx/EN/Y2021/V32/I8/650

[1]	刘沛,张媛,邓宁宁.泌尿系结石腔镜碎石术后重症感染的治疗研究[J].中国现代医生杂志, 2019,57(14):923-925.
[2]	王田,洪欣,李珲,等.输尿管镜气压弹道碎石取石术后不留置双J管的安全性:探索性随机对照研究[J].中国微创外科杂志,2020,20(8):682-685.
[3]	邱智,张军晖,张际青,等.输尿管软镜碎石术后输尿管支架管留置时间的研究 [J].中华泌尿外科杂志,2018, 39(7):537-539.
[4]	倪旭青,张竞雄,龙彦笑,等. 氟比洛芬酯缓解膀胱镜检查疼痛的临床研究[J].实用药物与临床杂志,2018,21(8):889-891.
[5]	陈霆,陆一玲. 输尿管镜下钬激光碎石术对嵌顿性输尿管上段结石患者排石率疼痛视觉模拟评分术后并发症的影响[J].中国药物与临床杂志,2019,19(15):2631-2633.
[6]	Khan S R, Pearle M S, Robertson W G, et al. Kidney stones [J]. Nat Rev Dis Primers, 2016,2(1):429-438.
[7]	Zeng G,Mai Z,Xia S,et al.Prevalence of kidney stones in China:an ultrasonongraphy based cross-sectional study [J].BJU Int,2017,120(1):109-116.
[8]	叶友新,邢金春,刘荣福,等.复发性泌尿系结石患者的结石成分改变特征及影响因素分析[J].中国医师进修杂志,2017,40(6):527-530.
[9]	孙道冬,高谨,任健,等.术前留置双J管时间对输尿管软镜治疗上尿路结石疗效的随机对照研究[J].中国内镜杂志,2019,25(2):48-52.
[10]	林长明,夏明,胡富勇,等.双J管远端栓线在输尿管中下段结石内镜术后的应用尝试 [J].中国内镜杂志,2019,25(3):44-47.
[11]	Althaus A B, Li K, Pattison E, et al. Rate of dislodgment of ureteral stents when using an extraction string after endoscopic urological surgery[J]. J Urol, 2015, 193(6): 2011-2014.
[12]	张闯,张夏梦,梅雪峰,等.输尿管硬镜与膀胱镜在拔除输尿管支架管中的随机对照研究[J].实用中西医结合临床,2020,7(20):101-102.
[13]	肖世伟,李亚楠,刘军,等.可降解输尿管支架管的研究进展 [J].中华泌尿外科杂志,2018,39(1):76-78.
[14]	Barros A A, Oliveira C, Ribeiro A J, et al. In vivo assessment of a novel biodegradable ureteral stent[J]. World J Urol, 2018, 36(2): 277-283.
[15]	张晓,杨慧慧,曾金芳,等.羟考酮在输尿管支架取出术中的应用[J].临床麻醉学杂志,2018,34(11):1084-1086.
[16]	曾兆慧,郑小青,延敏博,等.免膀胱镜拔出输尿管支架:只多要一条快微乔线和一条丝线[J].中华腔镜泌尿外科杂志(电子版),2020,16(3):189-191.
[17]	张拥军,林奋强,卫玉光.阿托品与间苯三酚治疗急性腹痛的疗效评价[J] .中国实用医药杂志,2020,15(13):123-125.
[18]	马越. 间苯三酚用于妊娠20周前先兆流产治疗的临床研究[J].中国医药指南,2019,17(33):55.
[19]	崔国兴,崔国旺,杨磊,等.间苯三酚联合山莨菪碱治疗下尿路微创手术后膀胱痉挛的疗效观察[J].现代泌尿外科杂志,2016,21(10):790-792.