本文選題：輸尿管軟鏡 + 腎結(jié)石　； 參考：《浙江大學(xué)》2014年碩士論文

【摘要】：目的：匯總分析我院逆行輸尿管軟鏡激光碎石治療腎結(jié)石并發(fā)癥發(fā)生率,比較我院、國(guó)內(nèi)及國(guó)外輸尿管軟鏡治療腎結(jié)石并發(fā)癥的發(fā)生率的區(qū)別,分享我院降低并發(fā)癥的措施及經(jīng)驗(yàn)。 方法：2009年10月至2013年10月邵逸夫醫(yī)院逆行輸尿管軟鏡鈥激光碎石治療腎結(jié)石病例500例,分析其并發(fā)癥發(fā)生,并與國(guó)內(nèi)、國(guó)外同類病例(1678例、747例)。比較出血、感染、輸尿管損傷、石街形成等并發(fā)癥發(fā)生率。并通過(guò)統(tǒng)計(jì)學(xué)分析我院在并發(fā)癥防治方面的優(yōu)劣勢(shì)。 結(jié)果：我院在輸尿管鏡鈥激光治療腎結(jié)石中,術(shù)中出血、輸尿管損傷、術(shù)后腎周血腫、全身炎癥反應(yīng)綜合征、感染性休克、輸尿管穿孔發(fā)生率分別為：1.6%、1.4%、0.8%、2.6%、0.6%、0.4%。我院在出血、石街形成等方面與國(guó)內(nèi)外并發(fā)癥發(fā)生無(wú)明顯差異。(vs國(guó)外：矯正卡方=0.00348,vs國(guó)內(nèi)矯正卡方=3.8265,卡方=3.183,p值均0.05;vs國(guó)外：卡方=1.4539,P0.05)輸尿管損傷較國(guó)內(nèi)發(fā)病率低(矯正卡方=12.62,p0.05),感染性發(fā)熱較國(guó)外發(fā)病率低(卡方=8.6714,p0.05)。 結(jié)論：雖然輸尿管軟鏡是微創(chuàng)手術(shù),但是仍有可能發(fā)生各種并發(fā)癥,應(yīng)引起重視。
[Abstract]:Objective: to analyze the incidence of complications of retrograde soft ureteroscopy laser lithotripsy in the treatment of renal calculi, and to compare the incidence of complications between our hospital, domestic and foreign ureteral soft endoscopy. To share the measures and experiences of reducing complications in our hospital. Methods: from October 2009 to October 2013, 500 cases of renal calculi were treated with retrograde ureteroscopic holmium: YAG laser lithotripsy. Complications such as bleeding, infection, ureteral injury and stone street formation were compared. And through the statistical analysis of our hospital in the prevention and treatment of complications advantages and disadvantages. Results: the incidence of intraoperative bleeding, ureteral injury, perirenal hematoma, systemic inflammatory response syndrome, septic shock, and ureteral perforation in our hospital were 1. 6% and 1. 4% respectively. Our hospital is bleeding, There was no significant difference between the formation of stone street and complications at home and abroad. The incidence of ureteral injury was lower than that in China (correction of chi-square 12.62p0.05a, P = 0.05p = 3.183P = 0.05N). The incidence of ureteral injury in China was lower than that in China (correction of chi-square 12.62p0.05a), and the incidence of ureteral injury was lower than that of domestic patients (correction of chi-square 12.62p0.05a), and the incidence of ureteral injury was lower than that of domestic patients. The incidence of fever was lower than that of abroad. Conclusion: although soft ureteroscopy is a minimally invasive operation, complications may occur, which should be paid attention to.
【學(xué)位授予單位】：浙江大學(xué)
【學(xué)位級(jí)別】：碩士
【學(xué)位授予年份】：2014
【分類號(hào)】：R699

【共引文獻(xiàn)】

相關(guān)碩士學(xué)位論文 前1條

1 周成浩;逆行輸尿管軟鏡與經(jīng)皮腎鏡治療2-3cm腎盂結(jié)石：?jiǎn)沃行碾S機(jī)對(duì)照研究[D];浙江大學(xué);2014年

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本文編號(hào)：1908629