微通道经皮肾镜取石术感染性休克危险因素分析

发布时间：2018-01-09 01:00

本文关键词：微通道经皮肾镜取石术感染性休克危险因素分析　出处：《中国内镜杂志》2016年07期 　论文类型：期刊论文

【摘要】：目的探讨微通道经皮肾镜取石术(m PCNL)发生感染性休克的危险因素。方法对2013年1月-2014年12月该科经治的1 590例m PCNL患者的临床资料进行回顾性分析,采用单因素χ~2检验和Logistic回归分析法分析m PCNL术后发生感染性休克的危险因素。结果术后18例患者发生感染性休克,其中男6例,女12例,年龄28~69岁,平均(45.6±13.5)岁,术前尿常规白细胞(WBC)阳性率100.00%,结石直径1.5~5.0 cm,单通道取石15例,多通道3例,手术时间45~200 min,平均(87.0±56.0)min,18例患者中2例因继发多器官功能衰竭而死亡,余好转出院。χ~2分析结果显示女性、术前尿常规WBC(+++~++++)、术前未行肾造瘘与感染性休克的发生相关,Logistic回归分析显示女性、术前未行肾造瘘与感染性休克的发生相关。结论女性、术前未行肾造瘘是m PCNL术后发生感染性休克的危险因素。
[Abstract]:Objective to investigate the microchannel percutaneous nephrolithotomy (mPCNL). Methods the clinical data of 1 590 patients with m PCNL from January 2013 to December 2014 were retrospectively analyzed. Univariate 蠂 ~ 2 test and Logistic regression analysis were used to analyze the risk factors of septic shock after m PCNL. Results 18 patients (6 males) developed septic shock after operation. 12 women (2869 years old, mean 45.6 卤13.5yrs) were female. The positive rate of WBCs in urine routine before operation was 100.00m, and the diameter of stones was 1.5 卤5.0 cm. Single channel lithotripsy was performed in 15 cases and multichannel in 3 cases. The operative time was 45 ~ 200 min, with an average of 87.0 卤56.0 min. 2 of 18 patients died of secondary multiple organ failure. The results of 蠂 2 analysis showed that there was a correlation between preoperative routine urine routine (WBC) and septic shock. Logistic regression analysis showed that no preoperative nephrostomy was associated with septic shock in women. Conclusion in women, no preoperative nephrostomy is a risk factor for septic shock after m PCNL.
【作者单位】：昆明医科大学第二附属医院泌尿外科;
【分类号】：R699.2;R459.7
【正文快照】： 微通道经皮肾镜取石术(mini-percutaneousnephrolithotripsy,m PCNL)是治疗肾结石和输尿管上段结石的重要方法,常见的并发症有出血、感染、肾盂撕裂和损伤周围脏器等,其中感染性休克是 m PCNL严重的并发症之一,如果处理不及时,休克进展至多器官衰竭后患者的病死率将大大增加,

【相似文献】