Research on the application of monitoring and regulation of intrapelvic pressure in supermicropercutaneous nephrolithotomy
10.3969/j.issn.1673-9701.2024.14.014
- VernacularTitle:肾盂内压力监测和调控在超微通道经皮肾镜碎石术中的应用研究
- Author:
Bin CHEN
1
;
Lingfeng WU
;
Linfeng LU
;
Yifang CAO
;
Wei CHEN
;
Xueping WANG
;
Wenhua XIE
Author Information
1. 嘉兴市第一医院/嘉兴学院附属医院泌尿外科,浙江嘉兴 314000
- Keywords:
Urolithiasis;
Supermicropercutaneous nephrolithotomy;
Intrapelvic pressure;
Fever;
Urinary protein;
Adverse reactions
- From:
China Modern Doctor
2024;62(14):60-64
- CountryChina
- Language:Chinese
-
Abstract:
Objective To investigate the application of intra pelvic pressure(IPP)in ultramicro-channel percutaneous nephrolithotripsy.Methods From January 2022 to January 2023,60 patients with urinary calculi who needed Super mini-PCNL(SMP)in The First Hospital of Jiaxing selected as the study objects.According to random number method,the patients were divided into control group and experimental group,with 30 cases.Both groups were treated with ultra-micro channel percutaneous nephrolithotripsia,while the experimental group was monitored and regulated IPP in real time during the operation,and observed and compared clinical indicators,IPP,fever,urinary protein,renal function,hemoglobin(Hb)and adverse reactions between the two groups.Results Compared with the control group,the hospitalization time of experimental group was shortened and the stone clearance rate was increased(P<0.05).The IPP levels of experimental groups at 6min,12min,24min and 36min were lower than those of control group(P<0.05).The fever of experimental group was lower than that of control group at 2d,3d,4d and 5d after operation(P<0.05).The urinary protein level of experimental group was lower than that of control group at 1d,2d,3d and 4d after operation(P<0.05).Compared with control group,blood urea nitrogen(BUN)and serum creatinine(SCr)levels of experimental group were decreased,and Hb levels were increased(P<0.05).The incidence of adverse reactions in experimental group was lower than that in control group(P<0.05).Conclusion Monitoring and adjusting intrapelvic pressure during super-mini percutaneous nephrolithotomy is beneficial in reducing postoperative fever in patients with urolithiasis,reducing urinary protein expression and kidney function damage,and controlling the occurrence of adverse reactions.It is worth recommending.
