中国全科医学2017，Vol.20Issue(29)：3703-3706,4.DOI:10.3969/j.issn.1007-9572.2017.07.y05
“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
Application of " Air Decompression" Syringe Irrigation in Flexible Ureteroscopic Lithotripsy with Holmium Laser
李武学 1赵兴华 1许长宝 1王晓甫 1刘昌伟 1樊长晖 1芦俊洁2
作者信息
- 1. 450000 河南省郑州市,郑州大学第二附属医院
- 2. 450000 河南省郑州市,河南省人民医院
- 折叠
摘要
Abstract
Objective To observe the efficacy and safety of the " air decompression" syringe irrigation in flexible ureteroscopic lithotripsy with holmium laser.Methods From September to December in 2016,a total of 100 patients with upper urinary calculi who accepted flexible ureteroscopic lithotripsy treatment in the Second Affiliated Hospital of Zhengzhou University were divided into group A and group B by random number table method.50 cases in group A were treated by artificial syringe irrigation,and 50 cases in group B were treated by " air decompression" syringe irrigation.The postoperative body temperature ＞38.5 ℃,white blood count (WBC) ＞10×l09/L,procalcitonin (PCT) ＞0.1 μg/L,PCT＞0.5 μg/L,and systemic inflammatory response syndrome (SIRS) were observed in the two groups.The intraoperative renal pelvic pressure was monitored in patients with the presence of renal fistula channel.Results There were no statistically significant differences in the incidence of postoperative body temperature ＞ 38.5 ℃,PCT ＞ 0.5 μg/L and SIRS in the two groups (P ＞ 0.05).The incidence of WBC ＞ 10 × 109/L and PCT ＞ 0.1 μg/L in group B were lower than those in group A (P ＜ 0.05).25 patients with fever after operation were discharged from hospital after empiric antibiotic treatment.The intraoperative pulse water injection curve was observaed:the instantaneous perfusion pressure in group A showed a sudden rise curve,group B showed a slow upward trend.Conclusion " Air decompression" syringe irrigation can keep the renal pelvis pressure relatively stable,improve the sudden change of instantaneous perfusion rate and perfusion pressure caused by the difference of the artificial syringe irrigation.It is safe and effective in flexible ureteroscopic lithotripsy with holmium laser,and is especially suitable for high-risk groups who are susceptible to infection.关键词
尿路结石/输尿管软镜/碎石术/肾盂压Key words
Urinary calculi/Flexible ureteroscope/Lithotripsy/Renal pelvic pressure分类
医药卫生引用本文复制引用
李武学,赵兴华,许长宝,王晓甫,刘昌伟,樊长晖,芦俊洁..“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[J].中国全科医学,2017,20(29):3703-3706,4.
