论文部分内容阅读
目的:探讨经皮肾镜碎石术患者术中术后出血的影响因素及应对办法。方法:选取2011年2月——2011年12月期间,在我院行经皮肾镜碎石术治疗肾结石患者71例为分析对象,对其术中、术后出血及治疗情况进行追溯性分析。结果:术中、术后出血19例,占26.76%;影响经皮肾镜碎石术术中及术后出血的因素主要有糖尿病史、高血糖状态、肾功能不全、结石大小和手术时间;71例患者手术成功率100%。结论:行经皮肾镜碎石术之前对患者血糖及肾功能进行调整、尽可能缩短手术时间及对特殊患者采取分期手术的办法,是避免术中术、后出血的有效措施。
Objective: To explore the influencing factors of postoperative bleeding in patients undergoing percutaneous nephrolithotomy and the corresponding measures. Methods: From February 2011 to December 2011, 71 cases of renal calculi treated by percutaneous nephrolithotomy in our hospital were selected as the analysis objects, and the postoperative bleeding and the treatment were retrospectively analyzed . Results: There were 19 cases of intraoperative and postoperative bleeding, accounting for 26.76%. The main influencing factors of percutaneous nephrolithotripsy and postoperative bleeding were history of diabetes, hyperglycemia, renal insufficiency, stone size and operation time. 71 cases of surgical success rate of 100%. Conclusion: Percutaneous nephrolithotripsy is an effective measure to avoid intraoperative and postoperative hemorrhage by adjusting the blood glucose and renal function, minimizing the operation time and staging surgery for special patients.