58例孤立肾铸型结石病人行微创经皮肾取石术的护理

Nursing care of 58 patients with solitary kidney cast mould calculus treated by micro-invasive percutaneous nephrolithotomy

[目的]总结孤立肾铸型结石病人行微创经皮肾取石术的护理措施。[方法]回顾性分析58例孤立肾铸型结石病人行微创经皮肾取石术的临床资料。[结果]本组病人总结石清除率96%;术后并发全身炎症反应综合征2例,肾周血肿1例,反复出血3例,未发生感染性休克;随访1个月～18个月,1例栓塞止血后肾受损加重,57例病人肾功能均有不同程度的恢复,未见肾萎缩。[结论]加强微创经皮肾取石术治疗孤立肾铸型结石病人的护理是手术成功的保证。

Objective：It summarized nursing measures for patients with solitary kidney cast mould stone treated by micro-invasive percutaneous nephrolithotomy.Methods：Clinical data of 58 patients with solitary kidney cast mould stone treated with micro-invasive percutaneous nephrolithotomy were analyzed retrospectively.Results The total stone clearance rate was 96%.Two patients had complicated with postoperative systemic inflammatory response syndrome.One case complicated with perirenal hematoma and 3 cases with recurrent bleeding.However,none complicated with septic shock.All cases had been followed up for 1 month to 18 months,renal function of only one case had getting worse after renal artery thrombosis for stop bleeding.And 57 patients were with different degrees of renal function recovery and none were developed renal atrophy.Conclusion：To strengthen nursing care of patients with solitary kidney cast mould stone treated by micro-invasive percutaneous nephrolithotomy is the assurance for a successful operation.