探讨双J管-Folys导尿管捆绑复合体在输尿管镜钬激光碎石术中的临床应用。

回顾性分析长江航运总医院泌尿外科2016年6月至2018年12月收治的68例单侧输尿管中、下段结石伴肾输尿管积水患者的临床资料，其中男性40例，女性28例，平均年龄（52±13）岁，平均结石最大径（1.2±0.2）cm。

所有患者均完成经尿道输尿管镜钬激光碎石取石术，并成功置入双J管-Folys导尿管（16 F）捆绑复合体。平均手术时间（31±5）min。术后8例患者出现腰痛，无导尿管-双J管脱离病例。拔出导尿管后，15例患者出现发热，10例患者出现患侧腰部隐痛。术后1个月所有患者无结石残留，50例患者肾输尿管积水消失，18例患者肾输尿管积水较术前减少。术后3个月，所有患者肾输尿管积水消失，未发现术后输尿管狭窄。

中下段输尿管结石碎石取石术中留置双J管-Folys导尿管（16 F）捆绑复合体并在术后第7天拔出可减轻患者术后症状，节省医疗费用。

To investigate the clinical application of double J -Folys catheter binding complex in ureteroscopic holmium laser lithotripsy.

The clinical data of 68 patients with unilateral middle and lower ureteral calculi and hydronephrosis in General Hospital of the Yangtze River Shipping from June 2016 to December 2018 were analyzed retrospectively, including 40 males and 28 females, with an average age of (52±13) years, and the calculi diameter with an average of (1.2±0.2) cm.

All patients underwent transurethral holmium laser lithotripsy and were successfully implanted with a double J-Folys catheter binding complex. The operation time was 20-40 minutes with an average of (31±5) minutes. Postoperative low back pain occurred in 8 patients. Postoperative flank pain occurred in 8 patients. There was no cases of catheter - double J tube disconnecting. After catheter removal, 15 patients developed fever, and 10 patients got low back pain. All patients were followed up 1 month after operation without residual calculi. Hydronephrosis disappeared in 50 patients and decreased in 18 patients compared with that before operation. The patients were followed up 3 months after operation, and all the patients recovered from hydroureter. No postoperative ureteral stricture was found in all patients.

Indwelling double J-Folys catheter binding complex can reduce postoperative symptoms, improve postoperative quality of life, and save medical costs.