“空气减压”注射器注水法在输尿管软镜钬激光碎石术中的应用

发布时间：2018-02-26 13:02

  本文关键词： 尿路结石 输尿管软镜 碎石术 肾盂压　出处：《中国全科医学》2017年29期 　论文类型：期刊论文

【摘要】：目的观察"空气减压"注射器注水法在输尿管软镜钬激光碎石术中应用的安全性及有效性。方法选取2016年9—12月在郑州大学第二附属医院行输尿管软镜钬激光碎石术治疗的上尿路结石患者100例,采用随机数表法分为A组和B组。A组50例采用人工注射器注水法,B组50例采用"空气减压"注射器注水法。观察两组患者术后体温38.5℃、白细胞计数(WBC)10×109/L、降钙素原(PCT)0.1μg/L、PCT0.5μg/L、全身炎症反应综合征(SIRS)发生率。并监测存在肾造瘘通道患者的术中肾盂压。结果两组术后体温38.5℃、PCT0.5μg/L、SIRS发生率比较,差异均无统计学意义(P0.05);B组术后WBC10×10~9/L、PCT0.1μg/L发生率低于A组(P0.05)。25例术后发热患者经过经验性使用抗生素均康复出院。观察术中脉冲式注水曲线图:A组瞬间灌注压力幅度呈骤升曲线,B组呈缓慢上升趋势。结论 "空气减压"注射器注水法可以保持肾盂压相对稳定,改善了人工注水差异导致的瞬间灌注流速及灌注压骤变。在输尿管软镜钬激光碎石术中应用安全、有效,尤其适用于易发感染的高危人群。
[Abstract]:Objective to observe the safety and efficacy of "air decompression" injector injection in ureteral soft endoscope holmium: YAG laser lithotripsy. Methods Holmium: YAG laser lithotripsy was performed in the second affiliated Hospital of Zhengzhou University from 2016 to December. 100 cases of upper urinary calculi treated by surgery, 50 patients in group A were divided into group A and group B. 50 patients in group B were injected with artificial syringe, and 50 patients in group B were injected with "air decompression" syringe. The postoperative body temperature of the two groups was observed at 38.5 鈩，

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