论文部分内容阅读
目的:观察不同手术体位在经皮肾镜碎石术治疗复杂性肾结石中的运用效果。方法:78例复杂性肾结石患者随机分为截石斜仰卧位组、斜仰卧位组和俯卧位组,每组26例。三组患者采取不同手术体位,均给予经皮肾镜碎石术。结果:三组患者的术中出血量、结石清除率、住院时间及并发症发生率比较均无显著性差异(P<0.05),但截石斜仰卧位的手术时间显著短于,术中体位舒适率显著高于斜仰卧位组和俯卧位组(P<0.05)。结论:采用截石斜仰卧位进行经皮肾镜碎石术,显著缩短了手术时间,提高了患者术中的舒适度,有利于手术顺利进行。
Objective: To observe the effect of different surgical positions in the treatment of complex renal calculus with percutaneous nephrolithotomy. Methods: A total of 78 patients with complicated renal calculi were randomly divided into two groups: oblique intervertebral supine position group, oblique supine position group and prone position group, with 26 cases in each group. Three groups of patients to take different surgical positions, were given percutaneous nephrolithotripsy. Results: There was no significant difference in the intraoperative blood loss, stone clearance rate, hospitalization time and the complication rate between the three groups (P <0.05). However, the operation time of the calcaneus supine position was significantly shorter than that of the operative position The comfort rate was significantly higher than that in the supine position group and prone position group (P <0.05). Conclusion: Percutaneous nephrolithotomy using calcaneus supine position significantly shortens the operation time and enhances the intraoperative comfort, which is favorable for the successful operation.