摘要
目的:比较俯卧位与截石斜仰卧位在经皮肾镜碎石术中应用的疗效及安全性。方法:将80例经皮肾镜碎石手术患者随机分为俯卧位与截石斜仰卧位2组,每组40例。对不同体位下建立通道时间、手术时间、一次清石率、术中出血量、术后发热及脏器误伤等方面进行比较。结果:两种体位均能顺利完成手术,截石斜仰卧位手术时间、一次清石率及术中出血量等指标优于俯卧位,但两组间无统计学差异。结论:截石斜仰卧位经皮肾镜取石术治疗上尿路结石具有安全、高效、微创的特点,患者体位舒适,便于术中麻醉监测,术中碎石易排出,值得临床推广应用。
Objective： To compare the application of prone position and lithotomy oblique supine position in percutaneous nephrolithotomy. Methods： 80 patients with renal calculi were randomly divided into two groups with 40 cases each. One group applied the prone position and the other applied lithotomic oblique supine position. The time of establishing the percutaneous channel, operation time, stone clearance rate, blood loss, postoperative fever, and viscera injury in the two groups were evaluated retrospectively. Results： Surgeries in the two groups were all successfully completed. Operation time, stone clearance rate, and blood loss in the lithotomic oblique supine position group were better than that of the prone position group. Conclusion： The application of the lithotomic oblique supine position in PCNL has various advantages and it is worthy of clinical promotion.
出处
《中外女性健康研究》
2016年第3期4-5,共2页
Women＇s Health Research
