微创经皮肾穿刺取石术并发症的防治  

Prevention and management of complications of minimally invasive percutaneous nephrostolithotomy

作　　者：俞蔚文[1] 王兵[1] 何翔[1] 于志坚[1] 何华东[1] 王旭亮[1] 

机构地区：[1]杭州市第一人民医院泌尿外科,浙江杭州310006

出　　处：《全科医学临床与教育》2008年第1期8-10,共3页Clinical Education of General Practice

摘　　要：目的探讨微创经皮肾穿刺取石术常见并发症的原因及其防治措施。方法回顾性分析我院428例微创经皮肾穿刺取石术产生的并发症及其相关处理的临床资料。结果143例(33.41%)术中/后出现各种并发症,其中严重的并发症37例(8.64%),包括术中大出血5例(1.17%),上尿路损伤7例(1.64%),液气胸4例(0.93%),菌/毒血症15例(3.50%),术后继发性大出血6例(1.40%)。结论微创经皮肾穿刺取石术有一定的并发症,了解其发生的原理,作好充分术前准备,术中规范操作,可以预防和妥善处理这些并发症。Objective To evaluate the causes of complications and prophylactico-therapeutic measure following minimally invasive percutaneous nephrolithotomy （MPCNL） . Methods Totally 428 patients were treated with MPCNL, the clinical data concerning their treatments of complications were reviewed retrospectively. Results Various complications occurred in 143 cases （33.41%）,and there were 37 cases （8.64%） of serious complications among them, including 5 cases（1.17% ） of intraoperative hematorrhea,7 cases（1.64%） of injury of distal ureter, 4 cases （0.93%） of hydropneumothorax, 15 cases＂ （3.50%） of bacteremia or toxemia, 6 cases （l.40%） of secondary hematorrhea. Conclusions There are some complications in using minimally invasive percutaneous nephrostolithotomy. We should think of these problems and find the causes of complications. Sufficient preoperative preparation and corrective manipulation are the effective ways to prevent and cure the complications.

关 键 词：微创经皮肾穿刺取石术 并发症 防治 原因分析 

分 类 号：R691.4[医药卫生—泌尿科学]