本文選題：感染性腎結(jié)石 + 經(jīng)皮腎鏡超聲碎石術(shù)�。� 參考：《中華醫(yī)院感染學(xué)雜志》2017年06期

【摘要】：目的觀察經(jīng)皮腎鏡超聲碎石術(shù)治療對于感染性腎結(jié)石中病患應(yīng)激激素分泌的影響,分析該法的治療價值。方法選擇2013年10月-2015年8月醫(yī)院進(jìn)行經(jīng)皮腎鏡超聲碎石術(shù)治療的感染性腎結(jié)石患者89例為超聲組,另選同期氣道彈壓碎石治療的89例感染性結(jié)石病患為氣道彈壓組,觀察治療前后兩組患者血清應(yīng)激激素、應(yīng)激炎性指標(biāo)的變化,并對比組間療效和并發(fā)癥。結(jié)果超聲組手術(shù)時間(69.72±9.58)min、術(shù)后住院時間(6.82±1.29)d、術(shù)中出血(75.26±15.64)ml明顯低于對照組,差異有統(tǒng)計學(xué)意義(P0.05);治療后,超聲組血管緊張素-Ⅱ(Ang-Ⅱ)(52.27±3.54)pg/ml、促腎上腺皮質(zhì)激素(ACTH)(26.17±2.97)pg/ml、去甲腎上腺素(NE)(275.08±23.01)ng/ml、皮質(zhì)醇(Cor)(171.65±9.54)ng/ml、腎上腺素(AD)(0.23±0.09)ng/ml、降鈣素原(PCT)(23.45±0.56)μg/ml、白介素-6(IL-6)(9.52±1.64)pg/ml、超敏C-反應(yīng)蛋白(hs-CRP)(7.69±1.89)mg/L、一氧化氮(NO)(12.21±1.31)μmol/L明顯低于氣道彈壓組,差異有統(tǒng)計學(xué)意義(P0.05);超聲組臨床療效(88.76%)明顯高于對照組66.29%,差異有統(tǒng)計學(xué)意義(P0.05)。結(jié)論經(jīng)皮腎鏡超聲碎石術(shù)治療感染性腎結(jié)石不僅具有較高的取凈率、術(shù)后恢復(fù)快,而且對患者應(yīng)激指標(biāo)影響小、手術(shù)安全性更高。
[Abstract]:Objective to observe the effect of percutaneous nephrolithotripsy on stress hormone secretion in patients with infectious renal calculi. Methods Eighty-nine patients with infectious renal calculi treated by percutaneous nephrolithotripsy from October 2013 to August 2015 were selected as ultrasound group, and 89 patients with infectious calculi treated with airway elastic lithotripsy at the same time were selected as tracheobronchial pressure group. The changes of serum stress hormone and stress inflammatory index were observed before and after treatment, and the curative effect and complications were compared between the two groups. Results the operation time was 69.72 鹵9.58 minutes, the postoperative hospitalization time was 6.82 鹵1.29 minutes, and the intraoperative bleeding was 75.26 鹵15.64)ml significantly lower than that in the control group (P 0.05). 瓚呭０緇勮綆＄揣寮犵礌-鈪，

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