【摘要】 目的探讨微通道经皮肾镜取石术治疗上尿路结石合并肾积脓的临床疗效。方法回顾性分析上尿路梗阻患者47例的临床资料,所有患者均行一期微通道经皮肾镜取石术,其中21例合并有肾积脓,26例未合并肾积脓,合并肾积脓患者术中采用稀释络合碘冲洗。比较两组患者术后情况发热情况、穿刺液培养结果、术后住院天数等。结果所有患者均行一期手术,并顺利完成手术。冲洗前后,细菌培养阳性率比较差异有显著统计学意义(P<0.01)。术后两组平均发热天数和术后住院天数无显著差异(P>0.05)。结论对于上尿路梗阻合并肾积脓患者,可采用一期m PCNL手术,术中采用络合碘溶液冲洗脓腔,能够达到较好的临床疗效。更多还原

【Abstract】 Objective To discuss clinical efficacy of microchannel percutaneous nephrolithotomy surgery for upper urinary tract calculi with renal empyema. Methods Clinical data of 47 cases with upper urinary tract obstruction were respectively analyzed. All cases were treated by first stage microchannel percutaneous nephrolithotomy surgery. 21 cases combined with pyonephrosis, and 26 cases did not combine with pyonephrosis. Patients with pyonephrosis washed by useing of diluted iodine intraoperative. Postoperative fever case situation, puncture fluid culture results and the number of days in hospital after surgery of two groups were compared. Results All patients underwent first stage surgery, and the completion of surgery was successful. The positive rate of bacterial culture after washing decreased apparently(P<0.01).The average number of days fever and the number of days in hospital after surgery after operation of two groups showed no significant difference(P>0.05). Conclusion For patients with the upper urinary tract obstruction combined with renalempyema surgery may be first stage m PCNL, using iodine solution washing rinse abscess, which can achieve better clinical efficacy.更多还原