摘要
目的探讨侧卧位在微创经皮肾镜取石术中的临床应用价值。方法回顾分析2007年7月-2010年7月33例侧卧位微创经皮肾镜取石术患者的临床资料,左侧11例,右侧18例,双侧4例,结石直径2.14.3 cm。C形臂X线机定位下作肾穿刺,建立微创经皮肾取石通道,钬激光碎石,灌注泵冲洗结合取石钳取石。结果回顾性分析33例患者成功建立39条经皮通道,除1例中转开放外其均余顺利完成手术;无穿刺失败及严重并发症,无术中大出血,无胸膜损伤及周围脏器损伤等并发症。结论侧卧位是泌尿外科医生最熟悉的手术体位,也是进行微创经皮肾镜手术的理想手术体位,侧卧位微创经皮肾镜取石术,有利于术中麻醉监护,手术安全,效果良好。
Objective To evaluate the clinical value of minimally invasive percutaneous nephrolithotomy（MPCNL） in lateral position.Methods Clinical data of 33 MPCNL from July 2007 to July 2010 were analyzes retrospectively.Among them,11 cases were left renal calculi,18 cases were right and 8 cases were bilateral.The stone measured 2.1-4.3 cm in diameter.The puncture was made under the guidance of X-ray,and then Holmium laser was used for stone fragmentation.The stone debris was removed by irrigation.Results The operation was completed under MPCNL in 33 cases by establishing 39 channels,except a conversion to open surgery in 1 case.In 33 cases,there was neither puncture failure nor serious complication founded.None of the cases had massive blood loss,or injuries to the pleura and other organs.Conclusion The lateral decubitus position,which was familiar to urologists,was also an ideal position for mPCNL.Lateral position MPCNL had the safety,affirmative advantage in curative effect,deserved the clinical expansion
出处
《中华全科医学》
2011年第5期700-700,702,共2页
Chinese Journal of General Practice
关键词
微创经皮肾镜取石
侧卧位
上尿路结石
Minimally Invasive Percutaneous Nephrostomy
Lateral position
Upper urinary calculi
