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目的探讨应用微创经皮肾输尿管镜治疗肾结石的疗效与护理。方法采用微创经皮肾输尿管镜结合钬激光碎石治疗肾结石54例,手术前、手术中及术后给予精细护理,观察微创经皮肾输尿管镜治疗肾结石的疗效及并发症。结果全组54例患者中,49例行一期穿刺碎石,3例行二期碎石,术中因持续活动性出血改行开放手术2例,均顺利取石。经过精细护理,患者均未发生气胸。45例患者术后出现低热,嘱多饮水及给予补液后,1～2d后体温均降至正常。结论使用微创技术创伤小、出血少、效果确切。护理人员应研究新术式围手术期的护理特点,充分认识可能出现的并发症,并采取有效措施加以防治,确保患者顺利康复。
Objective To investigate the efficacy and nursing of minimally invasive percutaneous nephrolithotomy in the treatment of kidney stones. Methods Minimally invasive percutaneous nephroureterectomy combined with holmium laser lithotripsy was used to treat 54 cases of renal calculi. The patients were treated with fine nursing before, during and after operation. The curative effect and complication of minimally invasive percutaneous nephrolithotomy on renal calculus were observed. Results Among the 54 patients, 49 cases underwent primary puncture and grafting in 3 cases, and 2 cases underwent open surgery due to persistent active hemorrhage during operation. After careful nursing, patients had no pneumothorax. After 45 cases of patients with fever, told more water and rehydration, 1 to 2 days after the body temperature dropped to normal. Conclusion The use of minimally invasive trauma, less bleeding, the exact effect. Nursing staff should study the perioperative nursing features of new surgical techniques, fully understand the possible complications, and take effective measures to prevent and cure to ensure the smooth recovery of patients.