经皮肾镜取石术后发热的危险因素及其处理

目的探讨经皮肾镜取石术(PCNL)术后患者发热的危险因素及防治措施。方法回顾性分析68例PCNL治疗上尿路结石患者的临床资料,分析患者发热的各种危险因素。结果术后发热14例,其发生率为20.6%;发热与术前是否尿路感染、手术时间、术中出血量及术后多方面的因素有关,发热组和未发热组中的差异有统计学意义(P0.05)。结论 PCNL术后并发感染比较常见,充分的术前准备、术中熟练操作以及使用有效抗生素是预防术后发热的有效措施。

Risk Factors of Fever after Percutaneous Nephrolithotomy

Objective To explore the risk factors of fever after percutaneous nephrolithotomy（PCNL） and preventive measures. Methods A retrospective analysis was made of clinical data about 68 cases of urinary stone by PCNL treatment,and the various risk factors of fever were analyzed. Results Fever after PCNL occurred in 14 cases and the incidence rate was 20.6% （n=14）. Fever after PCNL was related to preoperative urinary tract infection, operative time（〉2h）, intraoperative blood loss（〉500ml） and postoperative many factors. There was a significant difference between fever group and non-fever group （P〈0.05）. Conclusion Infection after PCNL is more common and adequate preoperative preparation, intraoperative skilled operation and the use of effective antibiotics are effective measures to prevent postoperative fever.