Objective To investigate the pathogenesis of retroperitoneal infection after retroperitoneal laparoscopy for urologic diseases.Methods From September 2014 to September 2016,clinical data of 82 cases with urologic diseases underwent retroperitoneal laparoscopy in the Department of Urinary Surgery,Jinqiu Hospital in Liaoning Province were retrospectively analyzed,including renal resection in 16 cases,renal cyst decortication in 49 cases,and adrenal tumor resection in 17 cases.The causes of infection were analyzed.Results Among 82 patients,2 patients transfered to open operation becasuse of retroperitoneal cavity preparation failure in renal cyst decortication,other 80 cases were all operated successfully.The operation time of renal resection,renal cyst decortication and adrenal tumor resection was (205.9±16.3) (52.6±10.8),(76.8±12.7) min respectively.The intraoperative blood loss was 25-90 mL,average of (56.8± 13.5) mL and with no blood transfusion.5 patients (6.1％) had infection because of intraoperative bleeding and postoperative fat residual,and all pateints were cured and discharged after active treatment of anti-infection and drainage.Conclusion The reasons of retroperitoneal infection after retroperitoneal laparoscopy for urologic diseases are intraoperative bleeding and postoperative fat residual,which prompt that should strengthen the technical proficiency of operation,serious hemostasis and reduce fat residual,ensure the drainage tube unobstructed,in order to effectively reduce the rate of postoperative infection.%目的 探讨后腹腔镜泌尿外科手术引发后腹膜腔感染的病因.方法 回顾性分析2014年9月～2016年9月辽宁省金秋医院收治的82例行泌尿外科后腹腔镜手术患者临床资料,其中,肾切除术16例,肾囊肿去顶减压术49例,肾上腺肿瘤切除术17例.分析术后引发后腹膜腔感染的病因.结果 82例患者中除2例行肾囊肿去顶减压术时后腹膜腔制备失败改行开放手术外,其余80例均手术成功.其中,肾切除术手术时间为(205.9±16.3)min,肾囊肿去顶减压术手术时间为(52.6± 10.8)min,肾上腺肿瘤切除术手术时间为(76.8±12.7)min.术中出血量为25～90 mL,平均(56.8±13.5)mL,均无需输血.其中,5例(6.1％)因为术中止血不良、术后脂肪残留等原因发生感染,经过积极的抗感染和引流处理后均治愈出院.结论 后腹腔镜泌尿外科手术引发患者后腹膜腔感染的原因主要在于术中止血不良以及脂肪残留等.因此,应加强医师的操作技术熟练度,术中认真止血并尽量减少已切除脂肪的残留,以保证术后引流管通畅,从而有效降低术后感染率.
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