老年患者经皮肾镜取石术后的并发症特点及影响因素分析  

The Characteristics and Influencing Factors of Postoperative Complications in Elderly Patients with Kidney Stone after Percutaneous Nephrolithotomy

作　　者：陈春胜 史南 黄永湘 类成勇[3] 

机构地区：[1]海南省儋州市人民医院泌尿外科,儋州571700 [2]海南省儋州市人民医院骨科,儋州571700 [3]南方医科大学南方医院泌尿科,广州510515

出　　处：《中国中西医结合外科杂志》2017年第2期122-124,共3页Chinese Journal of Surgery of Integrated Traditional and Western Medicine

摘　　要：目的:观察老年患者经皮肾镜取石术(PCNL)术后的并发症特点,分析其可能的影响因素。方法:回顾性分析120例行PCNL的老年患者的临床资料,总结最常见的并发症,运用Logistic多因素回归分析研究其影响因素。结果:120例PCNL均获得成功,术后出血10例,发热23例,灌注外渗1例,感染1例;出血的影响因素包括手术时间、结石直径、糖尿病,肾实质厚度,发热的影响因素包括结石直径、手术时间、糖尿病、尿路感染。结论:老年患者行PCNL术后仍存在出血、灌注外渗、感染和发热等并发症,其中出血和发热最常见,加强对出血和发热相关影响因素的分析和干预,能有效降低其发生风险。Objective To observe the characteristics of postoperative complications in elderly patients with kidney stone after percutaneous nephrolithotomy（PCNL）and analyze common complications.Methods The study is based on a retrospective analysis of the clinical data of 120 elderly patients with kidney stone and PCNL.The most common complications of PCNL and Logistic multi factor regression analysis was used to study the influencing factors for the complications.Results All 120 cases of kidney stone treated with PCNL were successful,with postoperative bleeding in 10 cases,fever in 23 cases,infusion extravasation in one case,and one case of infection.The influencing factors of bleeding included the operation time,stone diameter,diabetes mellitus,and renal parenchyma thickness.The influencing factors of fever included stone diameter,operation time,diabetes mellitus,and urinary tract infection.Conclusion After PCNL,the elderly patients with kidney stones may still have bleeding,infusion extravasation,infection,fever and other complications.Bleeding and fever were the most common complications.Therefore,the analysis and intervention of the related factors affecting the bleeding and fever can effectively reduce these complications.

关 键 词：肾结石 经皮肾镜取石术 术后并发症 

分 类 号：R692.4[医药卫生—泌尿科学]