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目的探讨微创经皮肾镜钬激光碎石术并发症的原因和对策。方法回顾性分析310例次微创经皮肾镜钬激光碎石术的临床资料。结果术中并发症大出血3例,肾实质贯通伤2例,肾盂穿孔2例,胸膜穿孔胸腔积液1例,肠管穿孔1例,冲洗液外渗2例;术后并发症迟发出血5例,发热4例,体温>39℃。结论微创经皮肾镜钬激光碎石术是一种有效的治疗肾结石的手段,由于手术操作水平和经验的因素,出现并发症应引起高度重视。为了减少并发症,降低危害,应提高手术操作的技能,做到及时发现并发症,有效果断的处理。
Objective To investigate the causes and countermeasures of complications of minimally invasive percutaneous nephrolithotomy with holmium laser lithotripsy. Methods The clinical data of 310 cases of minimally invasive percutaneous nephrolithotomy with holmium laser lithotripsy were retrospectively analyzed. Results 3 cases of intraoperative complications of hemorrhage, renal parenchymal wound in 2 cases, 2 cases of peritoneal perforation, pleural perforation pleural effusion in 1 case, bowel perforation in 2 cases, fluid extravasation in 2 cases; postoperative complications delayed bleeding in 5 cases , Fever in 4 cases, body temperature> 39 ℃. Conclusion minimally invasive percutaneous nephrolithotomy holmium laser lithotripsy is an effective means of treatment of kidney stones, due to the level of surgical operation and experience factors, complications should be attached great importance. In order to reduce complications and reduce harm, should improve the skills of surgical operations, so that timely detection of complications, effective and decisive treatment.