| 张文福,赵恩阳,耿 波,王万辉,哈得力·哈马尔太,李学东.通道大小对经皮肾镜取石患者出血的影响[J].,2018,(19):3677-3680 |
| 通道大小对经皮肾镜取石患者出血的影响 |
| Analysis of the Causes of Bleeding in Patients Undergoing Percutaneous Nephrolithotomy with Channel Size |
| 投稿时间：2018-03-17 修订日期：2018-04-13 |
| DOI：10.13241/j.cnki.pmb.2018.19.017 |
| 中文关键词: 经皮肾镜取石术 通道大小 出血 |
| 英文关键词: Percutaneous nephrolithotomy Channel size Bleeding |
| 基金项目:黑龙江省教育厅科学技术研究项目（12531400） |
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| 中文摘要: |
| 摘要 目的：探讨通道大小对经皮肾镜取石患者围手术期出血的影响及治疗策略。方法：回顾性分析2016年1月至2017年1月在我院行F24和F18通道的经皮肾镜取石术的189例患者临床资料，分别比较具有不同临床特征患者围手术期出血的发生情况。结果：95例F24通道患者平均出血量为125±19.6 mL，其中5人进行输血治疗；94例F18通道患者平均出血量为103±17.6 mL，其中3人进行输血治疗。F18通道经皮肾镜取石术的出血组和非出血组糖尿病、高血压的发生率、结石表面积、通道数量、手术时间比较差异均具有统计学意义(P＜0.05)。F24通道经皮肾镜取石术的出血组和非出血组孤立肾、高血压发生率、结石面积、肾实质厚度、通道数量和手术时间比较差异均具有统计学意义(P＜0.05)。F18通道经皮肾镜取石围手术期出血量显著少于F24通道(P<0.05)。结论：孤立肾、高血压、结石面积大、肾实质厚、肾积水轻、通道数量多和手术时间长均会导致经皮肾镜围手术期出血几率和出血量增加，并且F24通道相较于F18通道出血量更多。 |
| 英文摘要: |
| ABSTRACT Objective: To investigate the causes of perioperative bleeding in patients with percutaneous nephrolithotomy and their treatment strategies. Methods: The clinical data of 189 patients who underwent percutaneous nephrolithotomy in F24 and F18 channels from January 2016 to January 2017 in our hospital were retrospectively analyzed. The clinical data of patients were collected. Results: The mean bleeding volume of 95 patients with F24 channel was 125±19.6 mL. Five of them were transfused. The average blood loss of 94 patients with F18 channel was 103±17.6 mL, of whom 3 were transfused. Multivariate regression analysis of F18 and F24 channels found that isolated kidney, hypertension, stone area, renal parenchyma, hydronephrosis, passage number and operation time had signifi- cant effects on the amount of bleeding, while F18 channel bleeding less than F24 channel(P<0.05). Conclusion: Isolated kidney, high blood pressure, large area of stone, thick parenchyma, mild hydronephrosis, large number of passages and long operation time all lead to increased perioperative risk of hemorrhage and perioperative bleeding in percutaneous nephrolithotomy. Compared with F18 channel, more bleeding was found in the F24 channel. |
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