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. 梅骅, 陈凌武, 高新, 等. 泌尿外科手术学[M]. 3版. 北京:人民卫生出版社, 2008:737.
2. 桑晶. 骨盆骨折合并尿道损伤的围手术期护理[J]. 护士进修杂志, 2007, 22(17):1626-1627.
3. 李小萍. 基础护理学[M]. 2版. 北京:人民卫生出版社, 2006:8.
4. 沈钺, 王瑞臣. 碘伏预防留置尿管并发尿路感染的效果观察[J]. 中华医院感染学杂志, 2008, 18(4):524-525.
5. 贺彩芳, 吴雪洁, 杨碎丽, 等. 留置导尿致尿路感染与集尿袋更换时间的相关性研究[J]. 中华医院感染学杂志, 2007, 17(4):412-414.
6. 李麦玲, 王艳丽, 张建国. 留置尿管致泌尿系感染与膀胱冲洗的关系[J]. 中国误诊学杂志, 2005, 5(1):164.
7. 刘芬. 膀胱冲洗与大量饮水预防尿路感染的比较[J]. 护理研究, 2005, 19(19):1758-1759.
8. 解丹, 郑瑾, 苏兰若. 两种膀胱冲洗液温度对经尿道前列腺电切除术后出血和膀胱痉挛的影响[J]. 中华护理杂志, 2011, 46(4):334-336.
9. 孙绪杰, 李桂云. 消炎痛栓直肠用药治疗膀胱痉挛的临床观察[J]. 实用护理杂志, 2002, 18(4):27.
10. 李晓燕, 翟丽, 王晓静, 等. 运用循证护理探讨留置导尿管的更换时间[J]. 解放军护理杂志, 2008, 25(2):47-48.
11. 吴阶平. 吴阶平泌尿外科学[M]. 济南:山东科学技术出版社, 2005:855.
12. 胡祎民, 倪梁朝, 吴雄辉, 等. 输尿管镜联合硅胶尿管在治疗尿道球部损伤中的应用[J]. 热带医学杂志, 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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