摘要
目的观察肾结石应用经皮肾镜取石术治疗的效果及术后出血情况,分析引发术后出血的相关因素。方法选择本院2013年3月~2016年6月收治的1 432例肾结石患者,均采用经皮肾镜取石术治疗,观察治疗效果及术后出血情况,分析出血危险因素。结果 1 432例患者中,一期取石1 126例,二期取石306例,均痊愈出院。手术时间（63.2±30.8）min;术中出血量20~900 ml;住院时间（9.6±2.3）d。11例术中及术后出血明显,危险因素为高血压、糖尿病、肾功能不全、结石类型。结论经皮肾镜取石术治疗肾结石具有良好的治疗效果,但术中及术后出血量较大时会影响患者的康复,应准确掌握引发出血的危险因素,积极预防,提高手术治疗效果。
Objective To observe the effect of percutaneous nephrolithotomy on renal calculi and the postoperative bleeding,and to analyze the related factors of postoperative bleeding. Methods 1 432 patients with renal calculi admitted in our hospital were treated with percutaneous nephrolithotomy from March 2013 to June 2016. The therapeutic effect and postoperative bleeding were observed and the risk factors of bleeding were analyzed. Results Among the 1 432 patients,1 126 cases were removed in one stage and 306 cases in the second stage,all of them were cured and discharged. Operation time was（63.2±30.8）min,intraoperative blood loss was 20 to 900 ml,hospitalization time was（9.6 ± 2.3） d. 11 cases had obvious bleeding during and after operation. The risk factors were hypertension,diabetes mellitus,renal insufficiency and stone type. Conclusion Percutaneous nephrolithotomy has a good therapeutic effect in the treatment of renal calculus. However,it is necessary to control the risk factors of hemorrhage,and to prevent and improve the curative effect of the operation if the amount of blood loss during operation and after operation is large.
出处
《中国卫生标准管理》
2016年第24期40-42,共3页
China Health Standard Management
关键词
经皮肾镜取石术
肾结石
疗效
出血
Percutaneous nephrolithotomy
Kidney stones
Effect
Bleeding
