标准通道经皮肾镜Ⅰ 期治疗结石性脓肾.pdf

文档介绍：2009;29(7)%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%%南方医科大学学报(J%South%Med%Univ) ·1417·
标准通道经皮肾镜期治疗结石性脓肾
Ⅰ
周大庆王坚李文刚庞翔刘尚文余小祥江波解放军第医院泌尿外科广西南宁
, , , , , , ( 303 , 530021)
摘要目的研究标准通道下经皮肾镜期治疗结石性脓肾的可行性方法取例脓肾患者为研究对象取同期行经
: Ⅰ。 36 ,
皮肾镜手术的非脓肾结石患者例作为对照行经皮肾镜期手术治疗术中肾造瘘扩至标准通道用瑞士
36 , I , F24 , EMS
碎石清石系统进行碎石取石监测术中肾盂内压力变化同时行手术前后血培养尿培养术后体温变化血等相
, , 、、、 WBC
关指标监测手术前后使用抗生素治疗结果两组病例均顺利完成手术对照组和试验组术中所测肾盂内压力平均为
。。,
和两组各有例术后一过性菌血症无例败血症发生两者相比无统计学差异其他相关
%cm%H2O %cm%H2O, 1 , 1 , ,
指标也无统计学差异结论通过标准通道在肾盂低压状态下利用碎石清石系统期治疗结石性脓肾有效
。, EMS Ⅰ。
关键词经皮肾镜结石脓肾肾盂内压
: ; ; ;
中图分类号文献标识码文章编号
:%%%%%%%% :A%%%%%%%% :1673-4254(2009)07-1417-03
Treatment of caculous pyonephrosis with percutaneous nephrolithotomy via the standard access
ZHOU%Da-qing,%WANG%Jian,%LI%Wen-gang,%PANG%Xiang,%LIU%Shang-wen,%YU%Xiao-xiang,%JIANG%Bo
Department%of%Urology,%303%Hospital%of%PLA,%Nanning%530021,%China
Abstract: Objective To% investigate% the% feasibility% of% treatment% for% caculous% pyonephrosis% with% first% stage% percutaneous%
nephrolithotomy%under%the%standard%access. %Methods Thirty-six%cases%of%caculous%pyonephrosis%and%36%cases%of%urolithiasis%
with%no%pyonephrosis%were%treated%by%percutanous%nephrolithotomy.%In%the%nephrostomy,%the%caliber%was%dilated%to%F24.%All%the%
operations%were%preformed%through%the%EMS%lithotrity%system. %The%intrapelvic%pressure%was