输尿管镜钬激光碎石术后全身炎性反应综合征12例临床分析  

Clinical analysis of ureter mirror holmium laser lithotripsy postoperative systemic inflammatory response syndrome in 12 cases

作　　者：柳发德[1] 周兴祝[1] 吕建林[1] 王杜渐[1] 王义兆[1] 

机构地区：[1]南京医科大学附属江宁医院泌尿外科,江苏南京211100

出　　处：《中国当代医药》2013年第14期54-55,共2页China Modern Medicine

摘　　要：目的探讨输尿管镜钬激光碎石术后发生全身炎性反应综合征(SIRS)的高危因素和防治措施。方法回顾性分析2010年1月～2012年8月的192例上尿路结石患者接受输尿管镜钬激光碎石治疗,术后发生SIRS的12例患者的临床资料。结果术前有尿路感染(WBC≥3/HP)术后SIRS发生率为12.5%(9/72),术中输尿管镜进入困难及视野不清进行灌注泵高压灌注冲洗后SIRS发生率为8.9%(10/112),输尿管上段结石及肾盂结石SIRS发生率为9.48%(11/116),女性患者SIRS发生率为10.98%(9/82),近期结石肾绞痛症状后SIRS发生率为7.46%(10/134)。结论重视发生SIRS的高危因素,进行充分的术前准备,熟练的手术操作,细致的围术期管理,可减少术后SIRS的发生。Objective To investigate the high risk factors and preventive measures to ureter mirror holmium laser lithotripsy postoperative systemic inflammatory response syndrome. Methods The clinical data of one hundred and nlnety-two cases of urinary stones in patients treated with ureteroscopy holmium laser lithotripsy and 12 cases of postoperative SIRS patients were retrospective analyzed from January 2010 to August 2012. Results Preoperative urinary tract infection （WBC 3/HP） or higher postoperative incidence of SIRS was 12.5% （9/72）, intraoperative ureter mirror into difficult and unclear vision for infusion pump high-pressure perfusion wash after the incidence of SIRS was 8.9% （10/112）, the incidence of SIRS Duan Jieshi ureter and renal pelvis calculi was 9.48% （11/116）, the incidence of female patients with SIRS was 10.98% （9/82）, renal colic symptoms after recent calculi incidence of SIRS was 7.46% （10/134）. Conclusion Attaches great importance to the occurrence of SIRS high-risk factors, sufficient preoperative preparation, skilled operation, careful perioperative management, resulting in a lower incidence of postoperative SIRS.

关 键 词：输尿管镜 钬激光碎石术 全身炎性反应综合征 临床分析 

分 类 号：R691.4[医药卫生—泌尿科学]