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目的探讨截石斜45°仰卧位在经皮肾镜取石术中的应用。方法 2011年1月至2012年4月对50例肾结石及输尿管上段结石患者应用自制金属体位架实施了超声引导下截石斜45°仰卧位经皮肾镜取石术。男性患者23例,女性27例,左侧20例,右侧30例,肾结石37例,输尿管上段结石13例,结石直径(2.6±1.8)cm,回顾性分析手术时间、出血量、结石取尽率、并发症、安全性等资料。结果 50例手术顺利完成,无中转手术。手术时间(110.8±65.5)min,术中出血量(215.7±133.2)ml,1例术中输血,结石清除率96%(48/50),无胸膜、腹腔脏器损伤等并发症发生。结论采用截石斜45°仰卧位金属体位架进行经皮肾镜取石术具有体位舒适、操作方便等优点。
Objective To investigate the application of 45 ° supine position in percutaneous nephrolithotomy. Methods From January 2011 to April 2012, 50 patients with renal calculi and upper ureteral calculi underwent ultrasound-guided percutaneous nephrolithotomy using a self-made metal post. There were 23 males and 27 females, 20 on the left, 30 on the right, 37 on the kidney, 13 on the upper ureter, and 2.6 ± 1.8 on the calculus. Retrospective analysis of the operative time, the amount of bleeding, Rate, complications, safety and other information. Results 50 cases of surgery were successfully completed, no transit surgery. The operation time (110.8 ± 65.5) min, intraoperative blood loss (215.7 ± 133.2) ml, intraoperative blood transfusion, stone clearance rate of 96% (48/50), and no complications of pleural and abdominal organ injury occurred. Conclusions Percutaneous nephrolithotomy using a 45 ° supine position metal phantom is advantageous in that it is comfortable in position and easy to operate.