超声引导下经皮肾镜取石术中肾盂内压变化与术后发热的关系

发表时间：2014-07-09 浏览次数：1155次

引用：

黄韬，吕磊，王勇军等.超声引导下经皮肾镜取石术中肾盂内压变化与术后发热的关系[J].临床泌尿外科杂志.2013,28(4):292-294

关键词：

肾结石；经皮肾镜取石术；肾盂内压力；发热；

作者：

黄韬，吕磊，王勇军，蒋国，曽甫清

作者单位：

华中科技大学附属协和医院泌尿外科；武汉市第一人民医院泌尿外科；

出版年份：

2013

期刊页数：

292-294

收录者：

知网

摘要：

目的:探讨超声引导经皮肾镜取石术术中肾盂内压力的变化及与取石术后发热的关系。方法:回顾性分析96例接受经皮肾镜取石术治疗的肾结石患者临床资料,通过压力感受器实时监测术中肾盂内压力及对术后发热的影响。结果:筛选纳入的96例患者术中肾盂内压力≥30mmHg(1mmHg=0.133kPa)平均累计时间为83.17s,平均肾盂内压力为14.79mmHg。术后有26(27.1%)例患者出现发热,与感染性结石、术中平均肾盂内压力≥20mmHg、肾盂内压力≥30mmHg持续时间相关(P0.05)。结论:经皮肾镜取石术术中平均肾盂内压力、肾盂内压力≥30mmHg持续时间与术后发热的发生率呈正相关,而肾盂内压力短暂性升高(≥35mmHg)与术后发热无明显关系。 bjective: To investigate the correlation of renal pelvic pressure(RPP) in percutaneous nephro- lithotomy (PCN) guided by S-ultrasound and the incidence in postoperative fever. Method;The clinical data about the patients with renal calculus treated by PCN were retrospective analyaed. The effect of the RPP real-time meas- ured by baroceptor in PCN and postoperative fever were evaluated statistically. Result; The average persistence time of RPP30 mmHg was 83. 17 s and the mean RPP was 14. 79 mmHg in the selected 96 patients. 26 cases (27. 1%)developed a postoperative fever. Postoperative fever correlated to infection calculi, the average RPP20 mmHg, and RPP30 mmHg longer than 45 s(P

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