[1]余强国,宋小松,范召应,等.速即纱减少经皮肾通道出血和漏尿的有效性[J].中华腔镜泌尿外科杂志(电子版),2016,10(03):161-164.[doi:10.3877/cma.j.issn.1674-3253.2016.03.006 ]
 Yu Qiangguo,Song Xiaosong,Fan Zhaoying,et al.Efficacy of sealing percutaneous nephrolithotomy tracts with surgicel for decreasing bleeding and urine leakage[J].,2016,10(03):161-164.[doi:10.3877/cma.j.issn.1674-3253.2016.03.006 ]
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速即纱减少经皮肾通道出血和漏尿的有效性()
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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:
10
期数:
2016年03期
页码:
161-164
栏目:
临床研究
出版日期:
2016-06-29

文章信息/Info

Title:
Efficacy of sealing percutaneous nephrolithotomy tracts with surgicel for decreasing bleeding and urine leakage
作者:
余强国宋小松范召应吴燊荣柯创波杜伟甘艺平
528251佛山,南海区第二人民医院泌尿外科
Author(s):
Yu Qiangguo Song Xiaosong Fan Zhaoying Wu Shenrong Ke Chuangbo Du Wei Gan Yiping.
Department of Urology, the Second People's Hospital of Nanhai District, Foshan 528251,China
关键词:
速即纱漏尿出血无管化肾造口术经皮
DOI:
10.3877/cma.j.issn.1674-3253.2016.03.006
摘要:
目的评价速即纱减少经皮肾通道出血和漏尿的有效性。方法 2014年 1月至 2015年 3月南海区第二人民医院行经皮肾镜碎石取石术( PCNL)患者术中取石完毕后,随机分为速即纱组(试验组)和无管化 PCNL组(对照组)。排除集合系统严重穿孔、术中严重出血致视野不清、肾盂穿刺液为脓性、需二期 PCNL取石者,共 68例患者被纳入研究,试验组和对照组各 34例,所有手术均由同一位医师完成。比较两组患者术后血红蛋白( Hb)和红细胞容积( HCT)下降量、尿外渗及肾周血肿发生率、血尿持续时间、住院时间等。结果两组患者术后尿液变清试验组为 2.4 d和 3.4 d,对照组为 3.2 d和 4.7 d,差异均有统计学意义( P<0.05);迟发血尿发生率试验组和对照组分别为 2.9%和 41.2%,差异有统计学意义( P<0.05)。两组平均住院时间、手术时间、结石清除率、术后 Hb和 HCT下降量、术后肌酐比较差异无统计学意义( P>0.05)。试验组无肾周血肿、尿漏发生,对照组出现肾周血肿 1例,尿漏 3例,两组均无需输血或介入栓塞止血病例。结论速即纱可有效减少经皮肾通道出血和漏尿,有助于拓展无管化 PCNL的应用范围。

参考文献/References:

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备注/Memo

备注/Memo:
基金项目:佛山市科技局医学类科研课题( 2014AB000422)
通讯作者:余强国,Email:yqg640101@sina.com
本文编辑:阮星星 李文标) 余强国,宋小松,范召应,等.速即纱减少经皮肾通道出血和漏尿的有效性[J/CD].中华腔镜泌尿外科杂志:电子版, 2016, 10 (3
更新日期/Last Update: 2016-06-30