摘要
目的:探讨斜仰卧位经皮肾镜取石术治疗高危上尿路结石患者的临床疗效及安全性。方法:筛选收治的高危上尿路结石患者60例,作为研究对象。根据患者手术体位将其分为斜仰卧位组(n=28)与俯卧位组(n=32),两组患者基础资料比较,差异无统计学意义(P>0.05),两组患者均行常规经皮肾镜取石术治疗,比较两组患者手术疗效、通道建立时间、手术用时、术中出血量、一次性结石清除率等指标。结果:两组患者均顺利完成手术,无死亡及严重高危事件发生,但斜仰卧位组患者通道建立时间、手术用时、术中出血量、一次性结石清除率明显优于俯卧位组,差异具有统计学意义(P<0.05)。结论:斜仰卧位经皮肾镜取石术治疗高危上尿路结石疗效显著,且手术安全性较高,斜仰卧位更利于书中麻醉检测,有助于结石的顺利排除,具有临床应用及推广价值。
Objective To discuss the clinical efficacy and safety discussion of oblique supine percutaneous nephrolithotomy in the treatment of high- risk patients with urinary stones. Method 60 cases with high- risk urinary stones,which admitted in our hospital,were selected as the research object. They were divided into oblique supine group（ n = 28） and prone position group（ n= 32）,according to the operation position. Basic data was no significant difference in both groups（ P〈0. 05）; two groups were given routine percutaneous nephrolithotomy treatment. The indexes such as surgical curative effect,channels establishing time,operation time,intraoperative blood loss,one- time calculi clearance of the two groups were compared. Results Two groups of patients were successfully completed surgery,without death and severe risk events. The channels establishing time,operation time,intraoperative blood loss,one- time calculi clearance of the oblique supine group was obviously better than the prone position group,the difference was statistically significant（ P〈0. 05）. Conclusion The oblique supine percutaneous nephrolithotomy on the treatment of high- risk urinary stones has remarkable curative effect,and the operation security is higher,oblique supine position more conducive to intraoperative anesthetic detecting,help smooth stones,which has clinical application and popularization value.
出处
《吉林医学》
CAS
2016年第6期1372-1373,共2页
Jilin Medical Journal
关键词
斜仰卧位
经皮肾镜取石术
高危上尿路结石
临床疗效
Oblique supine position
Percutaneous nephrolithotomy
High risk of urinary stones
Clinical curative effect
