日间手术的硬性和软性输尿管镜检查。
Day-case rigid and flexible ureteroscopy.
作者信息
Bromwich E J, Lockyer R, Keoghane S R
机构信息
Department of Urology, St Mary's Hospital, Portsmouth, UK.
出版信息
Ann R Coll Surg Engl. 2007 Jul;89(5):526-8. doi: 10.1308/003588407X187676.
INTRODUCTION
The aim of this study was to evaluate the feasibility of rigid and flexible ureteroscopy as a day-surgery procedure.
PATIENTS AND METHODS
All patients requiring elective ureteroscopy from March 2004 were considered for a day-surgery procedure. The standard day-surgery exclusions existed but there were no urological criteria for exclusion. A single consultant urologist performed or supervised all procedures.
RESULTS
A total of 64 patients underwent 50 rigid and 14 flexible procedures. Six diagnostic ureteroscopies were performed. There was a 96% stone clearance rate. Five patients required an unplanned admission within the first 2 weeks' postoperatively. Three of these patients were admitted on the day of surgery, two for pain and one for social reasons. Two patients were admitted at 24 h and 48 h, respectively, for urinary retention.
CONCLUSIONS
Ureteroscopy, both rigid and flexible, is a safe procedure for the day-surgery setting. Routine use of prophylactic antibiotics, intravenous non-steroidal anti-inflammatory drugs resulted in an acceptable re-admission rate.
引言
本研究的目的是评估硬性和软性输尿管镜作为日间手术的可行性。
患者与方法
2004年3月起，所有需要择期输尿管镜检查的患者均考虑接受日间手术。存在标准的日间手术排除标准，但没有泌尿外科的排除标准。由一名泌尿外科顾问医生实施或监督所有手术。
结果
共有64例患者接受了50例硬性和14例软性手术。进行了6次诊断性输尿管镜检查。结石清除率为96%。5例患者在术后2周内需要非计划入院。其中3例患者在手术当天入院，2例因疼痛，1例因社会原因。2例患者分别在术后24小时和48小时因尿潴留入院。
结论
硬性和软性输尿管镜检查在日间手术环境中都是安全的手术。预防性抗生素、静脉注射非甾体抗炎药的常规使用导致了可接受的再入院率。
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