经皮肾镜技术在肝脓肿手术中的应用.docVIP

精品论文 参考文献 经皮肾镜技术在肝脓肿手术中的应用 （ 山东省威海市文登区人民医院；山东威海264400） 　　[摘要] 目的：探讨经皮肾镜技术在肝脓肿手术中的应用价值。方法：2011-2014年，对7例病人利用经皮肾镜技术行肝脓肿手术。结果：所有患者最终均治愈，无再次手术，无中转开腹，无一例死亡，无大出血，无胆瘘，术后疼痛轻，均未使用止痛剂。手术时间35-80分钟，平均55plusmn;16.2分钟；术后24-48小时开始进食；术后体温恢复正常时间2-5天，平均3.7plusmn;1.03天；住院天数10-21天，平均14plusmn;3.46天；6例病人均拔管出院，1例病人脓腔较大，带管出院，术后32天拔管。结论：经皮肾镜技术在肝脓肿中的应用是一种创伤小，恢复快，并发症少的治疗方法，今后也可以作为治疗肝脓肿的一种方法。 　　[关键词]经皮肾镜技术；肝脓肿。 　　Percutaneous nephroscope technology in the application of the liver abscess surgery 　　Deng hai jun,Liu long zhuang,Wang teng fei,et all. Wendeng Peoplersquo;s Hospital,Weihai City, Shandong Province, 264400,China. 　　【Abstract】Objective:Explore the percutaneous nephroscope technology in the application value of liver abscess.Methods:From 2011 to 2014, 7 patient cases with percutaneous nephrolithotomy line of liver abscess surgery..Result:Ultimately, all patients were cured, without secondary surgery, conversion to laparotomy, deaths, bleeding and biliary fistula.None of which were for the use of analgesics.The operation time was 35-80 minutes, with an average of 55plusmn;16.2 minutes.All patients postoperative time 24-48 hours began to eat. Postoperative body temperature returned to normal time 2 to 5 days,with an average of 3.7plusmn;1.03 days. Hospitalization days was 10 to 21 days, with an average of 14plusmn;3.46 days. 6 patients were extubated discharged while in hospital.1 case of patient pus cavity was larger, with pipe discharge until 32 days later pulled out the tube. Conclusion:Percutaneous nephrolithotomy in the application of liver abscess is a kind of less trauma recovery fast the treatment, in the future also can be used as a method for the treatment of liver abscess. 　　【Key Words】:Percutaneous nephroscope technology；Liver abscess 　　肝脓肿是由于肝脏受到感染后未及时正规处理而形成的脓肿，包括细菌性和阿米巴性肝脓肿，以细菌性肝脓肿多见。目前肝脓肿的引流术有经皮肝穿刺置管引流、开放脓肿切开引流及腹腔镜脓肿切开引流等，我们2011-2014年把经皮肾镜技术【1】应用在肝脓肿的治疗上，经皮肾镜属于泌尿外科，应用创新是由普外科肝脓肿病人全院会诊，泌尿外科医生提出此方案，并由泌尿外科医生指导操作完成，应用后取得满意的效果，到现在共行7例该手术，现总结如下。 　　资料：本组男性5例，女性2例，年龄57-85岁，平均68pl