经皮肾镜取石术中肾盂压力升高与术后并发症的关系  

Correlation between elevated renal pelvic pressure and postoperative complications in percutane-ous nephrolithotripsy

作　　者：甘露[1] 赵磊[1] 段启林[1] 黄桂晓[1] 李伟东[1] 

机构地区：[1]广东省深圳市罗湖区人民医院泌尿外科,518000

出　　处：《中国实用医刊》2016年第24期51-53,共3页Chinese Journal of Practical Medicine

基　　金：2011年度深圳市科技计划项目（医疗卫生类）（201103291）

摘　　要：目的：探讨经皮肾镜取石术中肾盂压力升高与术后并发症的关系。方法收集2012年1月至2015年10月354例经皮肾镜取石术患者为研究对象，根据是否发生术中肾盂压力升高将其分为升高组105例和对照组249例。对所有研究对象进行术后随访，比较两组术后并发症发生率。釆用简单相关分析经皮肾镜取石术中肾盂压力升高与术后并发症的关系。结果升高组休克、术后高热、败血症、肾盂破裂发生率高于对照组，差异有统计学意义（P ＜0.05）；两组呼吸功能障碍、死亡发生率比较差异未见统计学意义（P ＞0.05）。经皮肾镜取石术患者术后休克、高热、败血症、肾盂破裂发生与术中肾盂升高呈正相关（r 值分别为0.786、0.864、0.871、0.453，P ＜0.05）。结论休克、术后高热、败血症、肾盂破裂发生与术中肾盂压力升高具有相关性，手术过程中应该加强患者肾盂压力监测，对于肾盂压力升高患者，给予积极的治疗。Objective To investigate the relationship between elevated renal pelvic pressure and postoperative complications in percutaneous nephrolithotripsy. Methods A total of 354 patients received percutaneous nephrolithotripsy from January 2012 to October 2015 were divided them into two groups,ac-cording to whether the occurrence of elevated renal pelvic pressure in the operation,105 cases in the ele-vated renal pelvic pressure group and 249 cases in the control group. Postoperative follow-up was per-formed on all the patients,and the incidences of postoperative complications were compared between the two groups. The relationship between elevated renal pelvic pressure and postoperative complications in percutaneous nephrolithotripsy was analyzed by simple correlation. Results The incidences of shock, high fever,sepsis and renal pelvis rupture in patients in the elevated renal pelvic pressure group were higher than those in control group,the differences were significant（P 〈 0. 05）. There was no significant difference in the incidences of respiratory dysfunction or death between the two groups（ P 〉 0. 05）. There was positive correlation of the occurrences of the postoperative shock,high fever,sepsis,the rup-ture of renal pelvis with elevated renal pelvic pressure in patients after percutaneous nephrolithotripsy （r value were respectively 0. 786,0. 864,0. 871,0. 453 and P 〈 0. 05）. Conclusions The occur-rences of shock,postoperative fever,sepsis,renal pelvis rupture are correlated with elevated renal pelvic pressure. Monitoring of renal pelvic pressure during operation should be strengthened and positive treat-ment for patients with elevated renal pelvic pressure should be given.

关 键 词：经皮肾镜取石术 肾盂压力升高 术后并发症 相关性 

分 类 号：R699[医药卫生—泌尿科学]