摘要
目的:探讨微创经皮肾镜碎石术中肾盂压力变化及高压累积时间与术后早期并发症发生率的关系。方法:对70例复杂性肾结石患者采用微创经皮肾镜碎石治疗,监测术中肾盂压力及高压累积时间、并分为高压及低压组,分析两组患者术后发热、疼痛、肾周积液发生情况。结果:高压组术后1～4天平均体温高于低压组,差异有统计学意义(P<0.05),且高压组术后有较重的腰痛症状出现,止痛药物使用率明显高于低压手术组(P<0.05)。肾周积液发生率高压手术组亦显著高于低压手术组(P<0.05)。结论:微创经皮肾镜碎石术后早期并发症的发生率与术中高肾盂压相关,控制术中肾盂压力对降低术后并发症具有积极意义。
Objective：To evaluate the relationship between the early incidence of postoperative complication and renal pelvic pressure during minimally invasive percutaneous nephrolithotomy. Methods： The renal pelvic pressure of seventy complex renal calculi patients were monitored during minimally invasive percutaneous nephrolithotomy. Then the patients were separated into two groups according to the renal pelvic pressure, the postoperational fever, the pain and the perirenal fluid collection were analyzed. Results：The average body temperature was higher in high pelvic pressure group than that in low pelvic pressure group from the first day to the fourth clay after operation（P 〈0.05）. Also the lumbago was more serious and the incidence of perirenal fluid collection was much higher in high pelvic pressure group than that in low pelvic pressure group （P〈0.05）. Conclusions： The incidence of early postoperational complications was related to renal pelvic pressure during minimally invasive percutaneous nephrolithotomy. Controling the renal pelvic pressure during operation had positive meaning for decreasing the incidence of early postoperational complications.
出处
《临床泌尿外科杂志》
2008年第11期816-818,共3页
Journal of Clinical Urology
基金
浙江省绍兴市社会发展重点科研项目(2006A23006)
关键词
微创经皮肾镜碎石术
肾盂压
并发症
Minimally invasive percutaneous nephrolithotomy
Renal pelvic pressure
Complication
