输尿管软镜碎石术患者术后出血因素分析及防治措施  

Analysis of factors for postoperative bleeding in patients with ureteroscopic lithotripsy and its control measures

作　　者：简国登 郑彬 詹河涓 陈岳 丁俏梅 JIAN Guo-deng;ZHENG Bin;ZHAN He-juan(Foshan Chancheng District Central Hospital,Foshan 528000,China)

机构地区：[1]佛山市禅城区中心医院

出　　处：《中国实用医药》2019年第17期25-27,共3页China Practical Medicine

摘　　要：目的分析输尿管软镜碎石术患者术后出血因素及防治措施。方法 1070例行输尿管软镜碎石术治疗的上尿路结石患者,根据患者术后有无出血现象分为出血组(9例)和未出血组(1061例)。分析输尿管软镜碎石术患者术后出血的影响因素,总结有效的防治措施。结果两组患者结石类型、结石直径、肾功能异常、合并糖尿病情况比较差异具有统计学意义(χ^2=15.2134、13.4601、47.9102、28.0287, P<0.05);两组患者性别、肥胖情况、手术时间、年龄比较差异无统计学意义(χ^2=0.0024、0.0022、0.4395、0.9748, P>0.05)。Logistic回归分析显示:结石类型、结石直径、肾功能异常、合并糖尿病是肾结石输尿管软镜碎石术患者术后出血的影响因素(P<0.05)。结论结石类型、结石直径、肾功能异常、合并糖尿病是肾结石输尿管软镜碎石术患者术后出血的影响因素。医生应提高对术后出血的重视度,术前明确患者疾病史,围手术期合理控制血糖水平,不断提升手术技术,降低出血发生率。Objective To analyze the factors for postoperative bleeding in patients with ureteroscopic lithotripsy and its control measures. Methods A total of 1070 upper urinary tract calculi patients undergoing ureteroscopic lithotripsy were divided by postoperative hemorrhage or not into hemorrhage group(9 cases)and non-bleeding group(1061 cases). The influencing factors for postoperative hemorrhage in patients with ureteroscopic lithotripsy was analyzed, so as to summarize effective control measures. Results Both groups had statistically significant difference in type of calculi, calculi diameter, renal dysfunction and diabetes mellitus(χ^2=15.2134, 13.4601,47.9102, 28.0287, P<0.05). Both groups had no statistically significant difference in gender, obesity, operation time and age(χ^2=0.0024, 0.0022, 0.4395, 0.9748,P>0.05). Logistic regression analysis showed that the type of calculi, calculi diameter, abnormal renal function and diabetes mellitus were the influencing factors for postoperative hemorrhage after ureteroscopic lithotripsy(P<0.05). Conclusion The type of calculi, calculi diameter, abnormal renal function and diabetes mellitus were the influencing factors for postoperative hemorrhage after ureteroscopic lithotripsy. Doctors should pay more attention to postoperative hemorrhage,define the patient’s disease history before operation, control blood glucose level reasonably during perioperative period,constantly improve surgical techniques and reduce the incidence of bleeding.

关 键 词：出血因素 输尿管软镜碎石术 防治措施 

分 类 号：R699.4[医药卫生—泌尿科学]