The Nursing Experience of Preoperative Treatment for Urethral Injury with Ureteroscopic Urethral Realignment_West China Medical Journal

Authors：

 CHENGLi-li

First Department of Surgery, the Second People's Hospital of Yi Autonomous Prefecture of Liangshan, Xichang, Sichuan 615000, P. R. China;

Corresponding?author：

Keywords：

Urethral injury; Urethral realignment with ureteroscopic surgery; Perioperative nursing; Prevention of urinary tract infection

DOI：

10.7507/1002-0179.20140224

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Objective To explore the nursing experience of preoperative treatment for urethral injury with ureteroscopic urethral realignment. Methods The key points of the nursing experience of preoperative treatment for 58 cases of urethral injury with ureteroscopic urethral realignment were retrospectively analyzed. The patients were treated between January 2008 and December 2012. Results Urethra catheterization of the 58 patients receiving the ureteroscopic urethral realignment was all successful. The catheter was extracted 4-8 weeks after the treatment, and then the urethra was dilated for two years. All patients had normal urination without any surgery complications during the 5-28-month clinical follow-up. Conclusion Urinary tract infections can be prevented effectively under professional and meticulous preoperative treatment. The incidence of urethral stricture can be reduced greatly. The quality of the patients' life can be improved a lot.

Citation： CHENGLi-li. The Nursing Experience of Preoperative Treatment for Urethral Injury with Ureteroscopic Urethral Realignment. West China Medical Journal, 2014, 29(4): 745-747. doi: 10.7507/1002-0179.20140224 Copy

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1. 梅驊, 陳凌武, 高新, 等. 泌尿外科手術學[M]. 3版. 北京:人民衛生出版社, 2008:737.
2. 桑晶. 骨盆骨折合并尿道損傷的圍手術期護理[J]. 護士進修雜志, 2007, 22(17):1626-1627.
3. 李小萍. 基礎護理學[M]. 2版. 北京:人民衛生出版社, 2006:8.
4. 沈鉞, 王瑞臣. 碘伏預防留置尿管并發尿路感染的效果觀察[J]. 中華醫院感染學雜志, 2008, 18(4):524-525.
5. 賀彩芳, 吳雪潔, 楊碎麗, 等. 留置導尿致尿路感染與集尿袋更換時間的相關性研究[J]. 中華醫院感染學雜志, 2007, 17(4):412-414.
6. 李麥玲, 王艷麗, 張建國. 留置尿管致泌尿系感染與膀胱沖洗的關系[J]. 中國誤診學雜志, 2005, 5(1):164.
7. 劉芬. 膀胱沖洗與大量飲水預防尿路感染的比較[J]. 護理研究, 2005, 19(19):1758-1759.
8. 解丹, 鄭瑾, 蘇蘭若. 兩種膀胱沖洗液溫度對經尿道前列腺電切除術后出血和膀胱痙攣的影響[J]. 中華護理雜志, 2011, 46(4):334-336.
9. 孫緒杰, 李桂云. 消炎痛栓直腸用藥治療膀胱痙攣的臨床觀察[J]. 實用護理雜志, 2002, 18(4):27.
10. 李曉燕, 翟麗, 王曉靜, 等. 運用循證護理探討留置導尿管的更換時間[J]. 解放軍護理雜志, 2008, 25(2):47-48.
11. 吳階平. 吳階平泌尿外科學[M]. 濟南:山東科學技術出版社, 2005:855.
12. 胡祎民, 倪梁朝, 吳雄輝, 等. 輸尿管鏡聯合硅膠尿管在治療尿道球部損傷中的應用[J]. 熱帶醫學雜志, 2008, 8(4):365-366, 399.

West China Medical Journal

The Nursing Experience of Preoperative Treatment for Urethral Injury with Ureteroscopic Urethral Realignment

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