摘要
肾结石是泌尿外科常见疾病,其发病率有增加趋势。随着医学设备的发展,其治疗的主流逐渐由传统手术向微创手术转变。通常在行肾结石微创手术时,为保持手术视野的清晰及冲出碎石,常进行肾盂冲洗灌注,但目前的规范操作仍然可能造成肾盂内压升高,导致含有细菌及内毒素的灌注液经肾返流吸收,引起术后发热及脓毒症。因此,持续有效地监控肾内压力,并将肾盂内压控制在一定水平,可降低肾返流的发生,提高肾结石微创手术的安全性。
Renal calculi are common diseases in department of urology,and their incidence is increasing.With the development of medical equipment,the mainstream of nephrolithotomy has gradually changed from traditional surgery to minimally invasive surgery.Usually,in the minimally invasive surgery of renal calculi,renal pelvis irrigation and perfusion are used to keep the surgical field clear and clear of the gravel.However,the current standard operation may still lead to renal pelvic pressure increasing,resulting in the absorption of perfusion with bacteria and endotoxin through renal regurgitation,causing postoperative fever and sepsis.Therefore,continuous and effective monitoring of intrarenal pressure,and control of the renal pelvis pressure to a certain level can reduce the occurrence of renal regurgitation and improve the safety of minimally invasive surgery of renal calculi.
作者
钟伶俐
王略
杨杰
李文泽
ZHONG Ling-li;WANG Lue;YANG Jie;LI Wen-ze(Medical School of Jishou University,Hunan Province,Jishou 416000,China;Department of Urology,Xiangtan Hospital Affiliated to Nanhua University the First People′s Hospital of Xiangtan City,Hunan Province,Xiangtan 411100,China)
出处
《中国当代医药》
2019年第5期24-27,共4页
China Modern Medicine
基金
湖南省湘潭市医学会科研项目(2018xtyx-20)
关键词
肾结石
输尿管镜碎石术
经皮肾镜取石术
肾盂内压
Renal calculi
Ureteroscopic lithotripsy
Percutaneous nephrolithotomy
Renal pelvic pressure
作者简介
通讯作者:杨杰.
