摘要
目的总结经皮肾镜碎石取石术(PCNL)治疗经验,探讨PCNL术后感染的处理方法及预防措施。方法收集采用PCNL治疗的1 572例肾结石患者的临床资料,进行回顾性分析,患者共行1 711例次PCNL,其中139例因术后结石残留行二次手术。结果术后发生全身炎症反应综合征(SIRS)441例次(25.8%),发生感染性休克8例(0.5%)。经早期抗感染、抗休克治疗均好转。结论术后感染是PCNL术后常见并发症,要充分重视并早期采取积极防治措施,术前常规留置中段尿培养和进行药物敏感试验,术中采用合适的工作通道,术后常规对感染性结石进行细菌培养及药敏试验,有利于避免严重的不良事件发生。
Objective To summarize the experience of percutaneous nephrolithotomy （PCNL） and to evaluate the treat- ment and prevention of postoperative infection. Methods Records of 1 572 patients who underwent PCNL were analyzed retro- spectively. The frequency of PCNL was 1 711. A total of 139 patients suffered second operation. Results After PCNL, the frequency of SIRS was 441 （25.8%） and eight cases （0.5%） were identified with a diagnosis of septic shock. The prophase antiqnfection and anti-shock treatment was effective. Conclusion Postoperative infection is common complication after PCNL. The prophase efficacious therapy should be emphasized to avoid the occurrence of more adverse events.
出处
《福建医药杂志》
CAS
2012年第3期115-117,共3页
Fujian Medical Journal
关键词
感染
肾造口术
经皮
手术后并发症
infection
nephrostomy, percutaneous
postoperative complications
