摘要
目的探讨输尿管镜碎石术(URL)和经皮肾镜微造瘘碎石术(MPCNL)术后出现全身炎性反应综合征(SIRS)的原因和有效防治措施。方法采用回顾性分析165例首次行上尿路碎石术病人的临床资料,将无SIRS组与SIRS组在灌注压、通道数、手术时间等方面进行比较、分析。结果 165例患者中发生SIRS共46例,共占27.88%。术中冲水压力和手术时间无SIRS组与SIRS组进行比较,差异有显著性(P<0.05)。结论术中灌注压过高、灌注液流出受阻、灌注液量过多、手术时间长等因素均可能引起SIRS。根据情况控制灌注压、灌注液量、控制手术时间、围手术期应用有效抗生素等可以降低和预防SIRS发生率。
[Objective]To investigate the cause and effective management and prevention of systemic inflammatory response syndrome （SIRS） after endoscopic lithotripsy for upper urinary tract stones.[Methods]The clinical data of 165 patients after first endoscopic lithotripsy for upper urinary tract stones were retrospectively analyzed, and the irrigating pressure, numbers of tract and operation time were compared. [Results]46 cases of patients occurred SIRS （27.88% ）. The group with high-pressure irrigation and long-times operation had statistically higher incidence of SIRS than the others （P 0.05）.[Conclusions]The high-pressure irrigation , outflow tract obstruction of irrigating fluid, too much irrigating fluid, long-time of operation would result in SIRS. Elimination of these factors and application of antibiotics around the operation would reduce and prevent the SIRS.
出处
《中国内镜杂志》
CSCD
北大核心
2010年第6期625-628,共4页
China Journal of Endoscopy
关键词
上尿路结石
腔内碎石
全身炎性反应综合征
upper urinary tract calculi
endoscopic lithotripsy
systemic inflammatory response syndrome
