智能控压输尿管软镜碎石术后发生全身炎症反应综合征的临床分析

Clinical Analysis of Systemic Inflammatory Response Syndrome after Soft-controlled Ureteroscopic Soft Lithotripsy

目的探讨智能控压输尿管软镜碎石术治疗肾结石术后发生全身炎症反应综合征(SIRS)的有效预防措施。方法方便选取并回顾性分析该院2016年1月—2017年2月采用智能控压输尿管软镜碎石术治疗肾结石患者188例的临床资料。结果 188例肾结石患者均成功手术,术后确诊SIRS者11例,占5.85%。女性组(10.12%)与男性组(2.91%),尿培养为GNB组(20.00%)与非GNB组(3.68%),感染性结石组(13.04%)与非感染性结石组(1.13%)术后SIRS的发生率差异有统计学意义(P<0.05)。结论采用智能控压输尿管软镜碎石术治疗肾结石,能够有效减少细菌及内毒素的吸收,降低术后SIRS发生率。

Objective This paper tries to explore the preventive measures of SIRS after treatment of renal calculi with intelligent pressure-controlled ureter soft lithotripsy. Methods 188 cases of renal calculi treated by intelligent controlled ureteroscopic soft lithotripsy from January 2016 to February 2017 were convenient selection and analyzed. Results 188 patients were performed the surgery successfully, and 11 patients（5.85%） developed SIRS. There were significant differences between two groups in gender, female accounting for 10.12%, male accounting for 2.91%, mid-stream urine culture were Gram-negative bacteria（20.00%） and Non-gram negative bacteria（3.68%）, the infectious stone in the gorup of（13.04%） and non-infectious stone of（1.13%） in the development of SIRS, with significant difference（P0.05）. Conclusion The use of intelligent pressure-controlled ureter soft lithotripsy in the treatment of renal calculi can effectively reduce the occurrence of postoperative SIRS.