[摘要] 目的 探讨肾盂内压力监测在输尿管软镜碎石术治疗肾结石中的临床意义。方法 分析55例患肾结石行输尿管软镜碎石术的患者，监测术中肾盂内压力，分为高压组和低压组。比较患者术前术后即刻，术后3、7、30d尿mALB变化，监测术后患者体温，疼痛程度。结果 两组术后即刻尿mALB水平明显高于术前，高压组升高更明显。低压组术后7d尿mALB可恢复至术前水平，高压组则需术后30d。高压组术后发热、疼痛程度明显高于低压组。结论 输尿管软镜碎石术中高压灌注可引起肾功能损害，实时监测肾盂内压力，有利于恢复肾脏滤过功能，有利于减少术后感染、疼痛等并发症。

    [关键词] 输尿管软镜；肾盂内压；尿微量白蛋白；并发症

    [中图分类号] R692.4 [文献标识码] B [文章编号] 2095-0616(2016)09-191-03

    [Abstract] Objective To explore and discuss the clinical significance of monitoring the renal pelvic pressure in lithotripsy through flexible ureteroscope on treating kidney stones. Methods 55 kidney stones patients with lithotripsy through flexible ureteroscope were divided into high pressure group and low pressure group according to the renal pelvic pressure monitored in operation. The urine mALB level changes among preoperative and postoperative immediately ......