[1]张智,秦卫军,袁建林,等.经皮肾镜碎石取石术严重出血的相关因素分析[J].中华腔镜泌尿外科杂志(电子版),2018,12(03):194-198.[doi:10.3877/cma.j.issn.1674-3253.2018.03.012 ]
 Zhang Zhi,Qin Weijun,Yuan Jianlin,et al.Factors related to severe hemorrhage caused by percutaneous nephrolithotomy[J].,2018,12(03):194-198.[doi:10.3877/cma.j.issn.1674-3253.2018.03.012 ]
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经皮肾镜碎石取石术严重出血的相关因素分析()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
12卷
期数:
2018年03期
页码:
194-198
栏目:
临床研究
出版日期:
2018-06-20

文章信息/Info

Title:
Factors related to severe hemorrhage caused by percutaneous nephrolithotomy
作者:
张智1秦卫军1袁建林1尚磊2杨力军1王福利1冯文婷1刘飞1
710032 西安,空军军医大学西京医院泌尿外科 1,预防医学系统计学教研室 2
Author(s):
Zhang Zhi1 Qin Weijun1 Yuan Jianlin1 Shang Lei2 Yang Lijun1 Wang Fuli1 Feng Wenting1 Liu Fei1.
1Department of Urology, Xijing Hospital, 2Department of Health Statistics, Institute of preventive medicine, the Air Force Military Medical University, Xi'an 710032, China
关键词:
上尿路结石经皮肾镜出血因素
DOI:
10.3877/cma.j.issn.1674-3253.2018.03.012
摘要:
目的探讨经皮肾镜碎石取石术(PCNL)严重出血的有关风险因素,为预防和减少因PCNL而导致严重出血提供依据。方法回顾性选取 2014年 8月至 2017年 8月收住我院行 PCNL的 650例上尿路结石患者资料。对患者一般状况,如年龄、性别、孤肾、高血压、糖尿病、术前凝血功能、术前肌酐值、肾积水程度、泌尿系感染等,结石的多少、大小、位置、形态,术者操作因素(术中通道数目、单通道的大小、单通道的入路、单通道的穿刺位置、分期手术、手术时间)进行单因素 χ2检验,再对有意义的指标行多因素 Logistic回归分析。结果 χ2检验显示高血压、糖尿病、术前凝血功能异常、术前肌酐值 >115 μmol/L即肾功能不全、泌尿系感染、中重度肾积水、多发肾结石、结石位于肾盂和肾盏、术中多通道、术中较大穿刺通道、二期手术、手术时间超过 90min与 PCNL术后严重出血有关(P<0.05)。Logistic回归分析,术中较大穿刺通道、手术时间超过90 min、泌尿系感染、肾功能不全与PCNL术后严重出血有关(P<0.05)。结论术中较大穿刺通道、手术时间超过 90 min、泌尿系感染、肾功能不全是 PCNL术后严重出血的危险因素。

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备注/Memo

备注/Memo:
基金项目:国家自然科学基金(81270844);陕西省科技厅社会发展科技攻关项目(2016SF-161)
通讯作者:刘飞,Email: liufeiyh@163.com
更新日期/Last Update: 2018-06-20