术中应用速尿预防复杂性上尿路结石经皮肾碎石术后感染的疗效观察  

Infection--proventive effect of furosemide in minimally invasive percutaneous nephrolithotomy for complicated upper urinary tract stones

作　　者：许松华[1] 陈振业[1] 昔耀强 

机构地区：[1]广东省江门市新会区会城医院,广东江门529100

出　　处：《成都医学院学报》2012年第B09期66-67,共2页Journal of Chengdu Medical College

摘　　要：目的：观察术中应用速尿预防复杂性上尿路结石经皮肾碎石术后感染的临床疗效。方法：回顾分析2007年i月至2011年6月该院103例复杂性上尿路结石行经皮肾碎石患者，于建立经皮肾通道后，静脉推注速尿20mg，碎石术后发生尿路感染的情况。结果：术后尿路感染的发生率分别为6．8％（7例）。结论：通过术中应用速尿，抑制肾小管重吸收，减少了术中灌洗致肾盂内高压而}J起的细菌、细菌毒素反流和吸收，从而有效降低复杂性上尿路结石经皮肾碎石术后感染的发生率。Objective：Observation of intraoperative application of furosemide in prevention of complex upper urinary tract calculi after percutaneous nephro- lithotripsy infection： a clinical observation. Methods：Retrospective analysis of 2007January to 2011in this hospital in Junel03 cases of complicated upper urinary tract calculi by pereutaneous renal stone patients, in percutaneous renal access, intravenous injection of furosemide 20mg, lithotripsy urinary tract infection oc- curs. Results：Postoperative urinary tract infection rate was6.8% （7 cases）. Conclusions： Furosemide can play protective role in preventing the inflammation dur- ing endoscopic lithotripsy for complicated upper urinary tract stones.

关 键 词：结石 速尿 感染 碎石术 

分 类 号：R983.2[医药卫生—药品]