局解手术学杂志2018，Vol.27Issue(5)：342-346,5.DOI:10.11659/jjssx.02E018023
输尿管软镜术肾盂内压的测定与术后发热的关系
Correlation of monitoring the renal pelvic pressure in RIRS and the morbidity of postoperative fever
钱冲 1党博文 1谭宝飞 1陈一峰 1蔡斌 1李理 1刘成倍1
作者信息
- 1. 广西玉林市第一人民医院泌尿外科,广西 玉林537000
- 折叠
摘要
Abstract
Objective To investigate the clinical significance of monitoring the renal pelvic pressure( RPP) and regulating the manual perfusion pressure in flexible ureteroscope holmium laser lithotripsy. Methods A total of 189 patients with upper urinary tract calculi treated by RIRS in our hospital were retrospectively analyzed from August 2014 to August 2017. The renal pelvic pressure was monitored during RIRS in 136 cases( monitored group) whereas no monitoring occurred in the rest 53 cases( unmonitored group) . The monitored group was divided into two sub-groups of 49 cases named high-pressure group(the cumulative time of renal pelvis pressure upon 40 cmH2O≥1 min) and 87 ca-ses named low-pressure group respectively. The morbidity of postoperative fever ( T≥38. 5℃) was evaluated statistically between monitored group and unmonitored group,meanwhile between high-pressure group and low-pressure group. Results Postoperative fever did not correlate to age,sex,involved kidney,and postoperative urinary tract infection. Whether renal pelvic pressure was monitored or not,infection calculi, duration of operation and whether the cumulative time of renal pelvis pressure upon 40cmH2O≥1 min contributed to postoperative fever. The rate of postoperative fever in unmonitored group was higher than monitored group while the same between high-pressure group and low-pres-sure group,with statistically significant difference(P<0. 05). Conclusion Monitoring the intraoperative RRP and regulating the manual perfusion pressure during RIRS has positive significance in postoperative recovery and contribute to reducing postoperative fever.关键词
输尿管软镜术/上尿路结石/肾盂内压/激光碎石/手工冲洗/灌注泵冲洗Key words
RIRS/upper urinary tract calculi/renal pelvic pressure分类
医药卫生引用本文复制引用
钱冲,党博文,谭宝飞,陈一峰,蔡斌,李理,刘成倍..输尿管软镜术肾盂内压的测定与术后发热的关系[J].局解手术学杂志,2018,27(5):342-346,5.
