摘要
目的:探讨经皮肾镜取石术(PCNL)治疗上尿路结石术后发热的影响因素。方法:回顾性分析在我院行经PCNL治疗的89例上尿路结石患者的病例资料,分别对患者的性别、年龄、术前肾积水的程度、结石的大小、尿培养的结果、手术持续的时间以及术中灌注液等情况进行分析,探讨其与PCNL术后发生发热的相关性。结果:本组资料中,发热(>38℃)人数为19人,占21.3%。其中,术前尿培养阳性、结石直径大于3 cm、合并中度及中度以上肾积水、手术持续时间长、灌注液用量多的上尿路结石患者PCNL术后发热的几率明显升高(P<0.05)。而年龄、性别与上尿路结石患者PCNL术后发热的几率无明显相关性(P>0.05)。结论:术前预防性应用广谱抗生素、术中低压灌注、缩短手术时间、术前穿刺引流等都是预防上尿路结石患者PCNL术后发生发热的有效措施。
Objective： Study the related factors of fever after the treatment of upper urinary tract calculi by using percutaneous nephrostolithotomy （PCNL）. Methods： A retrospective analysis of pereutaneous nephrolithotomy surgery 89 cases of urinary stone information in our hospital, and respectively, gender, age, degree of hydronephrosis, stone size, urine culture, surgical duration and intraoperative perfusion fluid and so much to analyze, then the statistical relationship with complicated severe infections was investigated. Results： 19 people had Fever （〉 38 ℃ ） in this set of data which was taking up 21.3%. The preoperative positive urine culture, stone diameter greater than 3 cm, merged with moderate and moderater hydronephrosis, long duration of surgery, infusion liquid dosage postoperatively in patients with more complicated with infection rates rise significantly （P〈0.05）. And other factors conclued age and gender of concurrent infection have no significant influence （P〉0.05）. Conclusion： Percutaneous nephrolithotomy postoperative fever is common, serious infection could happen if it is not well control, preoperative prophylactic borad-spectrum antibiotics administration, surgery low-pressure perfusion, shorter operative time, preoperative puncture drainage and so on are all effective measures to prevent infection.
出处
《现代生物医学进展》
CAS
2016年第16期3074-3077,共4页
Progress in Modern Biomedicine
关键词
经皮肾镜取石术
感染
发热
上尿路结石
Percutaneous nephrostolithotomy
Infection
Fever
Upper urinary tract calculi
