微创经皮肾镜碎石术中肾盂压力变化与术后早期并发症发生率的关系

目的：探讨微创经皮肾镜碎石术中肾盂压力变化及高压累积时间与术后早期并发症发生率的关系。方法：对70例复杂性肾结石患者采用微创经皮肾镜碎石治疗，监测术中肾盂压力及高压累积时间、并分为高压及低压组，分析两组患者术后发热、疼痛、肾周积液发生情况。结果：高压组术后1～4天平均体温高于低压组，差异有统计学意义（P〈0．05），且高压组术后有较重的腰痛症状出现，止痛药物使用率明显高于低压手术组（P〈0．05）。肾周积液发生率高压手术组亦显著高于低压手术组（P〈0．05）。结论：微创经皮肾镜碎石术后早期并发症的发生率与术中高。肾盂压相关，控制术中肾盂压力对降低术后并发症具有积极意义。

The relationship between the early incidence of postoperative complication and renal pelvic pressure during minimally invasive percutaneous nephrolithotomy

Objective:To evaluate the relationship between the early incidence of postoperative complication and renal pelvic pressure during minimally invasive percutaneous nephrolithotomy.Methods:The renal pelvic pressure of seventy complex renal calculi patients were monitored during minimally invasive percutaneous nephrolithotomy.Then the patients were separated into two groups according to the renal pelvic pressure,the postoperational fever,the pain and the perirenal fluid collection were analyzed.Results:The aver...