标准通道经皮肾镜Ⅰ期治疗结石性脓肾  

Treatment of caculous pyonephrosis with percutaneous nephrolithotomy via the standard access

作　　者：周大庆[1] 王坚[1] 李文刚[1] 庞翔[1] 刘尚文[1] 余小祥[1] 江波[1] 

机构地区：[1]解放军第303医院泌尿外科,广西南宁530021

出　　处：《南方医科大学学报》2009年第7期1417-1419,共3页Journal of Southern Medical University

基　　金：广西自治区计划课题(Z2009397)

摘　　要：目的研究标准通道下经皮肾镜Ⅰ期治疗结石性脓肾的可行性。方法取36例脓肾患者为研究对象,取同期行经皮肾镜手术的非脓肾结石患者36例作为对照,行经皮肾镜I期手术治疗,术中肾造瘘扩至F24标准通道,用瑞士EMS碎石清石系统进行碎石取石,监测术中肾盂内压力变化,同时行手术前后血培养、尿培养、术后体温变化、血WBC等相关指标监测。手术前后使用抗生素治疗。结果两组病例均顺利完成手术,对照组和试验组术中所测肾盂内压力平均为23.2cmH2O和22.8cmH2O,两组各有1例术后一过性菌血症,无1例败血症发生,两者相比无统计学差异,其他相关指标也无统计学差异。结论通过标准通道,在肾盂低压状态下利用EMS碎石清石系统Ⅰ期治疗结石性脓肾有效。Objective To investigate the feasibility of treatment for caculous pyonephrosis with first stage percutaneous nephrolithotomy under the standard access.Methods Thirty-six cases of caculous pyonephrosis and 36 cases of urolithiasis with no pyonephrosis were treated by percutanous nephrolithotomy.In the nephrostomy,the caliber was dilated to F24.All the operations were preformed through the EMS lithotrity system.The intrapelvic pressure was detected in the operation.The hemoculture before and after operation,...

关 键 词：经皮肾镜 结石 脓肾 肾盂内压 

分 类 号：R699.2[医药卫生—泌尿科学]