论文部分内容阅读
目的:比较斜卧位与俯卧位B超引导下经皮肾镜碎石术治疗上尿路结石的疗效。方法:将722例上尿路结石患者随机分为两组,斜卧位组396例,俯卧位组326例,在B超引导下行经皮肾镜碎石术。记录两组手术时间、术后与术前血红蛋白改变、通道数、发生严重并发症例数、术后大出血例数、术后住院天数、分期手术例数及结石清除率等,进行统计学分析。结果:两组在性别、年龄、结石类型、术前的合并症方面均无统计学意义(P>0.05)。斜卧位组手术时间为(81.0±34.6)min,而俯卧位组为(102.0±41.5)min(P<0.05);斜卧位组的手术前后血红蛋白改变为(-12.3±3.2)g/L,俯卧位组的手术前后血红蛋白改变为(-21.1±3.6)g/L(P<0.05);斜卧位组的结石清除率为93.6%,俯卧位组的结石清除率为89.8%(P<0.05)。术中患者舒适度斜卧位组明显优于俯卧位组。结论:斜卧位经皮肾镜碎石术在手术时间、术中出血量、术后住院天数,结石清除率、患者耐受情况等方面优于俯卧位。
OBJECTIVE: To compare the curative effect of percutaneous nephrolithotripsy in the treatment of upper urinary calculi under the guidance of B-ultrasonography and prone position. Methods: A total of 722 patients with upper urinary tract calculi were randomly divided into two groups: 396 in the prone position group and 326 in the prone position group. Percutaneous nephrolithotriplasty was performed under B-guided ultrasonography. The operation time, the postoperative and preoperative hemoglobin changes, the number of channels, the number of serious complications, the number of postoperative bleeding, the number of postoperative hospitalizations, the number of staged surgery and the rate of stone removal were recorded. Statistical analysis was performed. Results: There were no significant differences in gender, age, type of stone and preoperative complications between the two groups (P> 0.05). The operation time in the oblique position group was (81.0 ± 34.6) min and in the prone position group was (102.0 ± 41.5) min (P <0.05). The hemoglobin before and after the operation was (-12.3 ± 3.2) g / L (-21.1 ± 3.6) g / L before and after operation (P <0.05). The stone clearance rate was 93.6% in the prone position group and 89.8% in the prone position group (P < 0.05). Patients in the comfort of patients with oblique position was significantly superior to prone position group. Conclusions: Percutaneous nephrolithotripsis is superior to prone position in operation time, intraoperative blood loss, postoperative hospital stay, stone clearance, patient tolerance and so on.