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首页> 外文期刊>BJU international >Day-case ureteroscopy: an observational study.
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Day-case ureteroscopy: an observational study.

机译：日间输尿管镜：一项观察性研究。

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OBJECTIVE: To evaluate the outcome after day-case ureteroscopy (used in diagnosing and managing ureteric disease, primarily urolithiasis), as awareness of reduced resources has resulted in increasing pressure to undertake procedures in a day-surgery setting. PATIENTS AND METHODS: All patients presenting to the unit and requiring ureteroscopy between May 1995 and May 2000 were considered for a day-surgery procedure. The assessment of suitability comprised anaesthetic and social factors; no urological criteria precluded a day-surgery procedure. Outcomes after day-case ureteroscopy, including immediate or delayed admissions and subsequent inpatient management, were reviewed retrospectively. RESULTS: Sixty-three day-case ureteroscopies were performed on 56 patients (mean age 47 years, range 19-78); eight procedures were diagnostic. Therapeutic ureteroscopies included one balloon dilatation of a ureteric stricture and 54 procedures for urolithiasis, with 98% stone clearance. Most patients were discharged with a JJ stent in situ. Of nine patients requiring immediate admission, seven were for pain control; eight were discharged on the following day. Seven patients required delayed admission 1-13 days after the procedure, three for stent-related symptoms and three for infection. No significant predictors of immediate or delayed admission were identified, although antibiotic prophylaxis was associated with a reduced admission rate. CONCLUSION: Ureteroscopy can be used successfully as a planned day-case procedure in a dedicated day-surgery unit, with few patients requiring hospitalization. Implementation of analgesia protocols and routine antibiotic prophylaxis may reduce admission after day-case ureteroscopy.
机译：目的：评估日间输尿管镜检查（用于诊断和处理输尿管疾病，主要是尿路结石）的结果，因为对资源减少的认识导致日间手术环境中进行手术的压力增加。患者和方法：1995年5月至2000年5月期间所有在该病房就诊并需要输尿管镜检查的患者均被考虑进行日间手术。适宜性评估包括麻醉和社会因素;没有泌尿外科的标准排除了日间手术程序。回顾性分析日间输尿管镜检查后的结果，包括立即或延迟入院以及随后的住院治疗。结果：对56例患者（平均年龄47岁，范围19-78）进行了63天的输尿管镜检查。有八种诊断方法。输尿管镜检查包括一例输尿管狭窄的球囊扩张术和54例尿路结石的手术，结石清除率达98％。大多数患者均原位JJ支架出院。在需要立即入院的9位患者中，有7位用于止痛。第二天有八人出院。七例患者需要在手术后1-13天延迟入院，三例因支架相关症状而三例因感染。尽管抗生素预防与入院率降低相关，但未发现立即或延迟入院的重要预测指标。结论：输尿管镜检查可在专门的日间手术室中成功地用作计划的日间手术程序，几乎没有需要住院的患者。实施镇痛方案和常规抗生素预防措施可减少日间输尿管镜检查后的入院率。

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