MPCNL术中肾盂压变化与术后早期并发症发生率之间的关系

Minimally Invasive Percutaneous Nephrolithotomy Surgery Pelvis Pressure Changes and Early Postoperative Complication Rate The Relationship Between

目的:探讨微创经皮肾镜碎石术(MPCNL)肾盂压力变化及高压的累计时间和术后早期并发症发生率之间的关系。方法:实时监测微创经皮肾镜碎石术术中肾盂压力和累积时间,复杂性肾结石碎石治疗的患者51例。根据术中所需产生高压组和低压组,低压组29例,高压组22例。分析两组患者术后疼痛,发热,血红蛋白下降值,肾周积液。结果:高压组1～4 d平均体温高于低压组,差异统计学意义(P<0.05),高压灌注组血红蛋白下降水平明显高于低压组(P<0.05)。高压组疼痛分数及止痛药的使用,显著高于低压操作组(P<0.05)。高压手术组肾周积液的发病率明显高于低压组(P<0.05)。结论:微创经皮肾镜术中肾盂压力高低的调节和术后早期并发症发病率具有正性关系,减低术中灌注压力以减少术后并发症。

Objective：Explore the relationship between the 分钟imally invasive percutaneous renal lithotripsy pelvis pressure changes and hypertension in the cumulative time and early postoperative complications incidence.Methods：Real-time monitoring of minimally invasive percutaneous renal surgery in renal pelvic pressure and cumulative time of complex renal calculi lithotripsy 51 patients.According to the surgery required to produce the high-pressure and low-pressure group,the low pressure group of 29 patients,22 cases of hypertension group.Analysis of postoperative pain,fever,hemoglobin,perirenal effusion.Results：after 1～4 days of the hypertension group,the average temperature is higher than the low group,the difference was statistically significant（P0.05）,low back pain than the decline in the high hemoglobin levels and pain scores in the low-pressure perfusion group（P0.05） and high-pressure groupthe symptoms are severe,use of analgesics was significantly lower than the low-voltage operation group（P0.05）.The incidence of high-pressure operation group perirenal effusion was significantly higher than the low pressure group（P0.05）.Conclusions：Minimally invasive percutaneous nephrolithotomy in renal pelvic pressure regulating and early postoperative complication incidence has positive relationship,reduce intraoperative perfusion pressure in order to reduce postoperative complications.