[1]傅恩君,王金根,贾灵华.经皮肾镜取石术中两种肾穿刺辅助方法的比较[J].中华腔镜泌尿外科杂志(电子版),2010,(06):459-461.
　FU En-jun,WANG Jin-gen,JIA Ling-hua.Comparison of two assisting methods of success rate and postoperative fever incidence in percutaneous nephrolithotomy[J].,2010,(06):459-461.
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经皮肾镜取石术中两种肾穿刺辅助方法的比较()
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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:
期数:
2010年06期
页码:
459-461
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Comparison of two assisting methods of success rate and postoperative fever incidence in percutaneous nephrolithotomy
作者:
傅恩君; 王金根; 贾灵华
南昌大学研究生院医学部，江西省人民医院泌尿外科,南昌,330006
Author(s):
FU En-jun; WANG Jin-gen; JIA Ling-hua
关键词:
经皮肾镜取石术; 辅助方法; 发热; 肾盂内压
摘要:
目的 比较经皮肾镜取石术两种肾穿刺辅助方法的穿刺成功率和术后发热发生率的差别,探讨两种辅助方法对术后发热的影响.方法 回顾性分析经皮肾镜取石术314例患者的临床资料,采用逆行输尿管插管持续低压滴注生理盐水辅助肾穿刺(低压组)126例,采用逆行输尿管插管高压注入生理盐水辅助肾穿刺(高压组)188例,对穿刺成功率、术后发热的发生率进行分析.结果 两组穿刺成功率、通道建立时间和总的手术时间差异均无统计学意义.低压组和高压组术后发热的发生率分别为19.0%和54.3%,两组比较差异有统计学意义.两组肾穿刺时注水压力的差异有统计学意义(P <0.05),Logistic 回归分析显示,术后发热与性别(P =0.878)、年龄(P =0.307)、术前合并感染( P =0.998)等因素不相关,而与肾穿刺时的注水压力相关(P =0.018).结论 两种肾穿刺辅助方法均能有效的辅助肾穿刺,但低压组术后发热的发生率较低.

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更新日期/Last Update: 1900-01-01