经皮肾镜碎石取石术术后出血的危险因素分析

Analysis on the Risk Factors of Hemorrhage After Percutaneous Nephrolithotomy

目的探讨经皮肾镜碎石取石术术后出血的危险因素。方法选取2015年3月至2017年3月我院经皮肾镜碎石取石术患者108例为研究对象,根据患者术后是否并发出血分为出血组和未出血组,对导致术后出血的可疑危险因素进行单因素和多因素分析。结果单因素分析显示,两组患者在鹿角型结石、手术通道、合并高血压、合并糖尿病及术中并发症方面比较,差异有统计学意义(P<0.05)。多因素分析显示,鹿角型结石、手术通道、合并高血压及术中并发症均为经皮肾镜碎石取石术术后出血的危险因素(P<0.05)。结论经皮肾镜碎石取石术术后出血的危险因素较多,临床中应针对性进行预防和干预,以降低术后出血的发生率,提高手术疗效和手术安全性。

Objective To explore the risk factors of hemorrhage after percutaneous nephrolithotomy. Methods 108 cases of patients underwent percutaneous nephrolithotomy in our hospital from March 2015 to March 2017 were selected as research objects. All cases were divided into the hemorrhage group and non-hemorrhage group according to whether patients had complicated hemorrhage after operation. Univariate analysis and multivariate analysis were performed in suspected risk factors of postoperative hemorrhage. Results Univariate analysis showed that there were statistical differences between two groups in the antlers, surgical channel, complicated hypertension, complicated diabetes mellitus and intraoperative complications （P 〈0.05）. Multivariate analysis showed that antlers, surgical channel, complicated hypertension and intraoperative complications were the risk factors for hemorrhage after pereutaneous nephrolithotomy （P〈0.05）. Conclusions There are a lot of risk factors for hemorrhage after percutaneous nephrolithotomy. Targeted prevention and intervention should be carried out in clinic to reduce the incidence of postoperative hemorrhage, and improve the surgical efficacy and safety.