国际医药卫生导报
國際醫藥衛生導報
국제의약위생도보
INTERNATIONAL MEDICINE & HEALTH GUIDANCE NEWS
2013年
16期
2509-2512
,共4页
肾结石%经皮肾镜碎石术%出血%危险因素
腎結石%經皮腎鏡碎石術%齣血%危險因素
신결석%경피신경쇄석술%출혈%위험인소
Kidney stones%Percutaneous nephrolithotomy (PCNL)%Bleeding%Risk factors
目的 探讨肾结石患者PCNL术后出血的危险因素,为临床治疗提供参考.方法 对2010年1月至2012年12月我院行PCNL术治疗肾结石的145例患者进行资料回顾,分析可能影响出血的因素(性别、肝功能不全、糖尿病、高血压、血肌酸酐、结石形状、肾积水程度、尿路感染、手术时间、肾功能不全、穿刺路径),采用Logistic多因素回归分析各种因素与是否输血之间的关系,从而找出影响出血的主要危险因素.结果 95.57％的患者PCNL术后一次性完全取石,术后未发现明显不良反应,患者疗效与预后效果良好.Logistic多因素回归分析发现,PCNL术后出血的主要危险因素有结石形状、手术时间、糖尿病和肾功能不全(P=0.000,0.041,0.006,0.004).结论 肾结石患者术前需要控制血糖水平、恢复肾功能、减少手术时间,从而降低术后出血风险.
目的 探討腎結石患者PCNL術後齣血的危險因素,為臨床治療提供參攷.方法 對2010年1月至2012年12月我院行PCNL術治療腎結石的145例患者進行資料迴顧,分析可能影響齣血的因素(性彆、肝功能不全、糖尿病、高血壓、血肌痠酐、結石形狀、腎積水程度、尿路感染、手術時間、腎功能不全、穿刺路徑),採用Logistic多因素迴歸分析各種因素與是否輸血之間的關繫,從而找齣影響齣血的主要危險因素.結果 95.57％的患者PCNL術後一次性完全取石,術後未髮現明顯不良反應,患者療效與預後效果良好.Logistic多因素迴歸分析髮現,PCNL術後齣血的主要危險因素有結石形狀、手術時間、糖尿病和腎功能不全(P=0.000,0.041,0.006,0.004).結論 腎結石患者術前需要控製血糖水平、恢複腎功能、減少手術時間,從而降低術後齣血風險.
목적 탐토신결석환자PCNL술후출혈적위험인소,위림상치료제공삼고.방법 대2010년1월지2012년12월아원행PCNL술치료신결석적145례환자진행자료회고,분석가능영향출혈적인소(성별、간공능불전、당뇨병、고혈압、혈기산항、결석형상、신적수정도、뇨로감염、수술시간、신공능불전、천자로경),채용Logistic다인소회귀분석각충인소여시부수혈지간적관계,종이조출영향출혈적주요위험인소.결과 95.57％적환자PCNL술후일차성완전취석,술후미발현명현불량반응,환자료효여예후효과량호.Logistic다인소회귀분석발현,PCNL술후출혈적주요위험인소유결석형상、수술시간、당뇨병화신공능불전(P=0.000,0.041,0.006,0.004).결론 신결석환자술전수요공제혈당수평、회복신공능、감소수술시간,종이강저술후출혈풍험.
Objective To explore the risk factors for postoperative bleeding in kidney stones patients with percutaneous nephrolithotomy (PCNL),and provide a reference for clinical treatment.Methods Retrospective review was conducted to get clinical data of 50 cases of kidney stones patients with PCNL in our hospital from January 2010 to December 2012,and analyzed the factors that may affect bleeding (gender,liver function insufficiency,diabetes,high blood pressure,blood creatinine,stones shape,degree of hydronephrosis,urinary tract infections,surgical time,renal insufficiency,puncture path).Logistic regression analysis was used to analyze a variety of factors and the relationship between blood transfusion,so as to identify the major risk factors affecting bleeding.Results 95.57％ of the patients with the PCNL postoperative disposable completely stone,no obvious postoperative adverse reactions found,and efficacy in patients had good prognosis.Logistic regression analysis found that the major risk factors leading to the PCNL postoperative bleeding were stones shape,surgery,diabetes and renal insufficiency (P =0.000,0.041,0.006,0.004).Conclusion Patients with kidney stones need to be controlled with blood sugar levels before surgery,recovery of renal function and reduce the operation time,thus reducing the risk of postoperative bleeding.
