摘要
目的：总结开放手术治疗复杂性肾结石的并发症与防治经验。方法：对行开放手术治疗的156例复杂性肾结石患者的手术并发症进行分析。结果：156例中，结石一次取净144例，残留结石12例。术中出血7例，术后继发出血4例，尿路感染8例，漏尿5例，尿瘘1例，肾盂肾盏颈狭窄闭锁2例，肾功能恶化2例。85例术后随诊3～6个月，彩超探查肾局部缺血萎缩3例，出现肾血管性高血压1例。结论：根据具体情况选用不同的取石路径与方法，术中细致操作，妥善止血，输尿管内置双J管，必要时以T型管或Foley导尿管作肾造瘘以通畅引流，以及围手术期积极控制尿路感染等，可以降低手术并发症的发生率。
Objective：To summarize the experience on prophylaxis and treatment for operative complications of complex renal calculi with open nephrolithotomy. Methods：From March 1990 to January 2005, clinical data of 156 cases for open nephrolithotomy hospitalized in our department were retrospectively reviewed with regard to the complication causes. Results：The calculi were completely removed in 144 cases and residual calculi existed in the remaining 12 cases. Bleeding during operations occurred in 7 cases of all, postoperative bleeding in 4 cases, urinary tract infection in 8 cases, urine leakage in 5 cases, urinary fistula in 1 case, pelvis and calyx stricture or atresia in 2 cases and renal function getting worse in 2 cases. 85 cases were followed up for 3 to 6 months , 3 patients were founded partial renal blood flow insufficiency and atrophy by color Doppler ultrasound scanning and 1 patient was diagnosed renovascular hypertension. Conclusions： There are effective methods to reduce operative complications including taking the different paths and methods according to the diverse conditions, accurate operation, effective hemostasis, indwelling Double-J ureteral stem , nephrostomy if necessary with T or Foley catheter and controlling urinary tract infection surrounding operations.
出处
《临床泌尿外科杂志》
2006年第4期293-295,共3页
Journal of Clinical Urology
关键词
肾结石
手术并发症
Renal calculi
Operative complications
