论文部分内容阅读
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2.1~4.3 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,值得临床推广使用。
Objective To investigate the clinical value of lateral position in minimally invasive percutaneous nephrolithotomy. Methods From July 2007 to July 2010, 33 patients with minimally invasive percutaneous nephrolithotomy in the supine position were retrospectively analyzed. Eleven patients on the left, 18 patients on the right, 4 patients on both sides, and the diameter of stones were between 2.1 and 4.3 cm. C-arm X-ray machine positioning for renal puncture, the establishment of minimally invasive percutaneous nephrolithotracheal holmium laser lithotripsy, irrigation pump irrigation combined with stone pliers. Results Retrospective analysis of 33 patients successfully established 39 percutaneous channels, with the exception of 1 case of transfer to open the remainder of the successful completion of surgery; no puncture failure and serious complications, no intraoperative bleeding, no pleural damage and surrounding organ damage complication. Conclusion The lateral position is the most familiar surgical position for urologists. It is also an ideal surgical position for minimally invasive percutaneous nephrolithotomy. Minimally invasive percutaneous nephrolithotomy in the lateral position is conducive to intraoperative anesthesia monitoring, operative safety, Good effect, it is worth to promote clinical use.