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目的:对比观察仰斜半截石位与其他体位经皮肾镜手术治疗尿路多发性结石的临床效果。方法:选取2013年3月-2014年3月本院收治的72例肾结石患者为研究对象,并随机将其分为俯卧位组、常规卧位组、经改良的仰卧位组(GMSV)以及仰斜半截石位组各18例,并给予经皮肾镜碎石术(PCNL)治疗,术后对比不同组别患者的临床效果及各项指标的改善情况。结果:仰斜半截石位的患者接受PCNL治疗的手术耗时较短,术后并发症的发生率为5.56%,一期结石取净率为94.4%,术后随访期间无复发,显著优于其他组别患者的临床治疗效果(P<0.05)。结论:针对尿路多发性结石的治疗,仰斜半截石位结合PCNL的治疗方式获得较为理想的临床效果。该治疗方式具有术中耗时短,减少患者疼痛感受度,安全性较高,术后患者恢复健康速度较快等优点,是临床治疗肾结石最首要的选择方式。
OBJECTIVE: To compare the clinical effects of percutaneous nephrolithotomy in the treatment of multiple urinary tract stones with oblique oblique lithotomy position and other positions. Methods: A total of 72 patients with nephrolithiasis admitted to our hospital from March 2013 to March 2014 were selected and randomly divided into the prone position group, the conventional lying position group, the modified supine position group (GMSV) 18 cases were treated with PCNL, and the clinical effects and the improvement of various indexes were compared between the two groups. Results: The surgery of PCNL in patients with inferior oblique lithotomy was shorter and the incidence of postoperative complications was 5.56%. The recovery rate of primary stones was 94.4%. No recurrence was found during follow-up, which was significantly better than that of PCNL The other group of patients with clinical treatment (P <0.05). Conclusion: For the treatment of multiple urinary tract stones, the treatment of PCNL with oblique oblique lithotomy position obtains the ideal clinical effect. The treatment has the advantages of short time-consuming surgery, reducing the patient’s pain sensitivity, higher safety, postoperative recovery of patients with faster speed, etc., is the most important clinical choice of treatment of kidney stones.