【摘要】 目的:研究二期微创经皮肾镜碎石(MPCNL)术中肾盂内压力的变化及其对术后并发症的影响。方法:行MPCNL手术的60例肾结石患者术中均行持续肾盂内压监测,试验组(30例)为二期手术患者,对照组(30例)为一期手术患者。统计术后发热、疼痛指数及血红蛋白的下降值等相关临床指标,探讨其与肾盂内压监测的关系。结果:二期MPCNL术中肾盂内压明显低于一期MPCNL者,二期手术患者术后发热、血红蛋白下降值及疼痛指数均明显低于对照组(P<0.05)。结论:二期MPCN手术由于有成熟的经皮通道,通过减少术中高压灌注时间,可以显著降低术后并发症发生率。更多还原

【Abstract】 Objective:To introduce the application of the continuous intraoperative renal pelvic pressure monitoring in two-stage percutaneous nephrolithotomy and investigate its clinical significance.Methods:60 patients with kidney stones were divided into two groups:experimental group(30 cases)and control group(30 cases).All patients were performed continuous intraoperative renal pelvic pressure monitoring during MPCNL.The relationship between postoperative fever,pain scores,hemoglobin decline and intrapelvic pressure monitoring were discussed.Results:The postoperative fever,decline in hemoglobin and pain scores of the experimental group were significantly lower than the control group(P<0.05).Conclusions:Two-stage percutaneous nephrolithotomy could reduce the intrapelvic pressure and postoperative complications significantly.更多还原