| 经皮肾镜取石术中两种肾穿刺辅助方法的比较 |
| |
| 引用本文： | 傅恩君,王金根,贾灵华. 经皮肾镜取石术中两种肾穿刺辅助方法的比较[J]. 中华腔镜泌尿外科杂志(电子版), 2010, 4(6): 22-24. DOI: 10.3877/cma.j.issn.1674-3253.2010.06.008 |
| |
| 作者姓名： | 傅恩君 王金根 贾灵华 |
| |
| 作者单位： | 1. 南昌大学研究生院医学部
2. 江西省人民医院泌尿外科,南昌,330006 |
| |
| 摘 要： | 目的比较经皮肾镜取石术两种肾穿刺辅助方法的穿刺成功率和术后发热发生率的差别,探讨两种辅助方法对术后发热的影响。方法回顾性分析经皮肾镜取石术314例患者的临床资料,采用逆行输尿管插管持续低压滴注生理盐水辅助肾穿刺(低压组)126例,采用逆行输尿管插管高压注入生理盐水辅助肾穿刺(高压组)188例,对穿刺成功率、术后发热的发生率进行分析。结果两组穿刺成功率、通道建立时间和总的手术时间差异均无统计学意义。低压组和高压组术后发热的发生率分别为19.0%和54.3%,两组比较差异有统计学意义。两组肾穿刺时注水压力的差异有统计学意义(P0.05),Logistic回归分析显示,术后发热与性别(P=0.878)、年龄(P=0.307)、术前合并感染(P=0.998)等因素不相关,而与肾穿刺时的注水压力相关(P=0.018)。结论两种肾穿刺辅助方法均能有效的辅助肾穿刺,但低压组术后发热的发生率较低。
|
| 关 键 词： | 经皮肾镜取石术 辅助方法 发热 肾盂内压 |
Comparison of two assisting methods of success rate and postoperative fever incidence in percutaneous nephrolithotomy |
| |
| FU En-jun,WANG Jin-gen,JIA Ling-hua. Comparison of two assisting methods of success rate and postoperative fever incidence in percutaneous nephrolithotomy[J]. , 2010, 4(6): 22-24. DOI: 10.3877/cma.j.issn.1674-3253.2010.06.008 |
| |
| Authors: | FU En-jun WANG Jin-gen JIA Ling-hua |
| |
| Affiliation: | FU En-jun,WANG Jin-gen,JIA Ling-hua.Department of Urology,Jiangxi Provincial People's Hospital,Nanchang 330006,China |
| |
| Abstract: | Objective To compare the success rate and postoperative fever incidence in patients who received percutaneous nephrolithotomy(PCNL) in which two assisting methods were applied respectively,and to explore the influence of these two methods on postoperative fever.Methods The data of 314 patients who received PCNL were analyzed.During the operation,retro-ureteral cannula and durative dripping the saline with low pressure were adapted for assisting puncture in 126 cases(group of low pressure),and retro-ureteral... |
| |
| Keywords: | Percutaneous nephrolithotripsy Assisting-method Fever Renal pelvic pressure |
| 本文献已被 CNKI 维普 万方数据 等数据库收录！ |
|
