微创经皮肾镜取石术后并发症的观察及护理

Observation and Nursing of Complications after Minimally Invasive Percutaneous Nephrolithotomy

目的分析微创经皮肾镜取石术后并发症的护理方法以及效果。方法2017年3月至2018年12月在我院收治的肾结石患者中进行随机抽取,此次研究纳入101例研究对象,为患者实施微创经皮肾镜取石术,为所有患者提供并发症预防护理,分析患者手术取石情况以及术后并发症发生情况。结果101例患者均顺利完成手术治疗,手术成功率为100%,97例患者一期手术取净结石,占96.04%,4例患者二期手术取净结石,占3.96%,结石取净率为100%。共计18例患者术后出现并发症,总发生率为17.82%,3例患者胸膜损伤,损伤率为2.97%,5例患者术后疼痛,疼痛率为4.95%,3例患者术后感染,感染率为2.97%,4例患者术后出血,出血率为3.96%,2例患者胸腔积液,发生率为1.98%,1例患者腹腔积液,发生率为0.99%。为所有患者实施对症治疗后病情均明显好转并最终得到治愈。结论微创经皮肾镜取石术后加强并发症观察并采取预防措施以及针对性护理有助于降低并发症发生率,可推动患者早日康复,有利于改善其身体素质以及生活品质。

Objective To analyze the nursing methods and effects of minimally invasive percutaneous nephrolithotomy.Methods From March 2017 to December 2018,101 patients with renal calculi admitted to our hospital were randomly selected.All patients underwent minimally invasive percutaneous nephrolithotomy for the prevention and treatment of complications.Surgical removal of stones and postoperative complications.Results 101 patients were successfully treated with surgery.The success rate was 100%.97 patients underwent first-stage surgery to remove stones,accounting for 96.04%.Four patients underwent second-stage surgery to obtain net stones,accounting for 3.96%.The stone removal rate was 100%.A total of 18 patients had postoperative complications,the total incidence was 17.82%,3 patients with pleural injury,injury rate was 2.97%,5 patients had postoperative pain,pain rate was 4.95%,3 patients had postoperative infection,infection The rate was 2.97%,4 patients had postoperative hemorrhage,the bleeding rate was 3.96%,2 patients had pleural effusion,the incidence rate was 1.98%,and 1 patient had peritoneal effusion,the incidence rate was 0.99%.After symptomatic treatment for all patients,the condition improved significantly and eventually healed.Conclusion Minimally invasive percutaneous nephrolithotomy for enhanced complications and preventive measures and targeted care can help reduce the incidence of complications,and promote patients to recover quickly,improve their physical quality and quality of life.