微创经皮肾取石术中肾盂内压力监测的意义  

The Significance of the Kidney Pelvic Pressure Monitoring during MPCNL

作　　者：臧运江[1] 辛秀英[2] 路强[3] 

机构地区：[1]潍坊医学院附属潍坊市人民医院泌尿外科,山东潍坊261041 [2]潍坊医学院附属潍坊市人民医院麻醉科 [3]淄博市临淄区人民医院泌尿外科

出　　处：《潍坊医学院学报》2010年第5期383-385,共3页Acta Academiae Medicinae Weifang

摘　　要：目的探讨肾盂内压力监测在微创经皮肾取石术（MPCNL）治疗肾脏复杂性结石术中的重要性及临床意义。方法对35例复杂性肾结石且需行双通道MPCNL治疗的患者，选择一通道用于监测术中肾盂内压力。术后监测患者体温、疼痛程度、肾周积液情况、血肌酐、GFR等。结果平均肾盂内压为（16．23±4．69）mmH2O。高压组术后发热、腰痛、肾周积液情况明显高于低压组（P〈0．05）。低压组术后肾功能较术前有很大改善，术前术后数据比较有统计学意义；高压组没有很大改善。结论MPCNL中实时监测肾盂内压力，可有效预防肾孟压力过高．减少术后肾脏功能损害等并发症。Objective To study the significance and importance of the renal pelvic pressure monitoring in minimally invasive percutaneous nephrolithotomy （ MPCNL ）. Methods Thirty-five patients with complex renal calculi who needed treatment of double channel MPCNL were selected. One channel was for pressure monitoring and the other for smash calculi. The fever,pain and pefirenal fluid after the operation were analyzed. The serum creatinine and GFR of the two groups was detected before and one week after the operation. Results The mean renal pelvic pressure was（ 16. 23 ±4.69） mmH2O. The condition of fever,pain and perirenal fluid in high pressure group was more serious than that of low pressure group （ P 〈 0.05 ）. The level of CCR and GFR was improved in the low pressure group, but not in the high pressure group. Conclusion The renal pelvic pressure monitoring in MPCNL is a safe and effective method to reduce the complication of MPCNL.

关 键 词：经皮肾穿刺取石术 肾盂压力 尿动力学检查 

分 类 号：R691.4[医药卫生—泌尿科学]