经皮肾镜取石术后发热相关因素分析

The analysis of infection after Percutaneous Nephrolithotomy

目的:分析经皮肾镜超声碎石取石术(PCNL)治疗上尿路结石后发热的相关因素。方法:回顾性分析了220例PCNL治疗上尿路结石患者的临床资料,术后分为发热组和未发热组,对两组PCNL后发热的相关因素进行分析。结果:术后发热64例,占29.1%,分析肾结石大小、手术过程中碎石时间、灌注液量、有无输尿管上段梗阻等因素对PCNL术后发热和不发热者的影响,其差异有统计学意义(P<0.05)。结论:术前充分掌握上尿路基本信息,检查梗阻情况、结石大小、硬度,评估手术时间,建议术前应用抗生素,尽量控制手术时间,术中、术后充分引流等是预防术后发热的重要措施。

Objective：To invetigate the related factors of infectiong after Percutaneous Nephrolithotomy（PC- NL） cures the calculi located at the upper urinary tract. Methods：Make a retrospective analysis of the clinical data of a total of 220 patients who underwent PCNL for upper urinary tract calculi were enrolled and divided into two groups., fever group and nonK-fever group, and analyzed the related factors of the fever. Results： Among the 220 cases, 64 cases were with fever after PCNL, take up 29.1%, The ratio of fever ralated to the size of the stone, operation time, irrigation fluid volume, with obstruction of upper urinary or not and so on. The differences be tween the groups had statistics significance（P〈0.05）. Conclusions：To master the basic information of upper uri nary, examine the obstruction , the size of stones, calcium hardness, evaluate the operation time, so controlling the operation time,using effecive antibiotics and making the drainage to be unobstructed before and after operation.