肾镜碎石取石术对肾功能不全患者术后感染影响的临床研究

Clinical study of effect of nephrolithotomy on postoperative infections in patients with renal insufficiency

目的探讨标准通道及微通道经皮肾镜碎石取石术对肾功能不全患者术后感染影响性,以期提高临床治疗水平。方法选取2010年4月-2013年4月150例肾功能不全术后感染患者为研究对象,将其随机分为标准通道组和微通道组,每组各75例,均予以经皮肾镜碎石取石术治疗,分析两种手术方式对术后感染的影响,采用SPSS13.0软件进行分析。结果标准通道组患者术后发热10例发生率为13.33%,感染性休克1例发生率为1.33%,Ⅰ期碎石64例,碎石率为85.33%;微通道组术后发热27例发生率为36.00%,感染性休克6例发生率为8.00%,Ⅰ期碎石52例,碎石率为69.33%,两组比较差异有统计学意义(P<0.05)。结论标准通道经皮肾镜碎石取石术可降低肾功能不全患者术后感染的发生。

OBJECTIVE To investigate effect of the standard channel and micro-channel percutaneous nephrolithotomy on postoperative infections in patients with renal insufficiency, in order to improve the level of clinical treatment. METHODS Totally 150 cases of postoperative infections in patients with renal insufficiency from Apr. 2010 -Apr. 2013 were selected for the study and divided into two groups, the standard channel group and the microchannel group, with 75 cases in each group, and all received percutaneous nephrolithotomy. The effect of the two surgical procedures on postoperative infection was analyzed with SPSS 13. 0. RESULTS The standard channel group had 10 cases （13. 33%） of postoperative fever, 1 case （1. 33%） of infective shock, and 64 patients （85.33%） had stage I lithotripsy. The microchannel group had 27 cases （36.00%） of postoperative fever, 6 cases （8.00%） of infective shock and 52 patients （69.33%） had stage I lithotripsy, there was significant difference between the two groups （P〈 0. 05）. CONCLUSION The standard ehannel pereutaneous nephrolithotomy can reduce the incidence of postoperative infections in patients with renal insufficiency.