腔镜手术肾盂灌注压力对肾脏损伤的研究进展  

Research Advances in Damage Caused by Renal Pelvis Perfusion Pressure in Endoscopic Surgery

作　　者：荣若增[1] 王砺 

机构地区：[1]石河子大学医学院临床医学系,新疆石河子832000 [2]新疆生产建设兵团医院泌尿外科,乌鲁木齐830000

出　　处：《医学综述》2013年第13期2415-2417,共3页Medical Recapitulate

摘　　要：近年来,随着我国居民生活水平的不断提高,泌尿系结石的发病率也越来越高。目前临床上对泌尿系结石的治疗主要采取腔内取石的方法,利用腔镜取石已经发展为一项成熟的技术。然而,在行腔镜手术时为保持手术视野的清晰及冲出碎石,常将灌注泵连接至腔镜进行肾盂灌注,往往导致肾盂内压力的增高,继而引起灌注侧肾脏结构和功能的改变。因此,研究肾盂灌注压力与肾脏损伤的关系,从而更好地避免或减少术中、术后并发症成为临床亟待解决的问题。With the improvement of living standards in recent years,the incidence of urinary calculi is getting higher and higher.The main treatment of urinary stones is taking the stones out by endoscopic surgery,and now it has been developed as a mature technology.However,in order to maintain the operative field clear and rush out of the rubble during the surgery,the infusion pump is often connected to the endoscope when carrying on pelvis perfusion.But it often leads to increased pressure in the renal pelvis,giving rise to the change of renal structure and function of the perfusion side.Therefore,it is necessary to study the relationship between renal pelvis perfusion pressure and the damage to avoid or reduce postoperative complications.

关 键 词：腔镜手术 肾盂灌注 肾脏损伤 

分 类 号：R692.4[医药卫生—泌尿科学]