论文部分内容阅读
我院自1988年10月～1995年10月使用国产JT—ESWL—Ⅱ型体外冲击波碎石机共治疗泌尿系结石患者2894例,效果良好,现就其中资料较完整的2073例做一回顾。1 临床资料1.1 一般资料 男1204例、女869例;年龄4～76岁,其中21～50岁占80％;病程1周～40年;单发结石1082例、多发结石897例、铸型结石94例;结石分布在肾盂肾盏1107例、输尿管各段966例,并有膀胱及后尿道结石44例。1.2 麻醉与体位 1988年10月～1989年8月均采用单次硬膜外麻醉,病人痛苦较大。1989年9月改用强化麻醉,由于操作的改进仅单纯使用镇痛剂同样效果满意。对于肾与输尿管上段结石取仰卧位、下段及膀胱结石采用两下肢屈曲外展的半坐位,而输尿管中段结石为避开骶髂关节则取俯卧位。自1991年底又进一步改进了机器的部分结构、使病人俯卧时更加舒适。1.3 心电监护 虽然碎石机多能与心搏同步触发,但
Our hospital from October 1988 to October 1995 using domestic JT-ESWL-Ⅱ extracorporeal shock wave lithotripsy total of 2894 cases of patients with urinary stones, the effect is good, we now have a more complete information on the 2073 to do a review. 1 clinical data 1.1 General information of male and female 1204 cases, 869 cases; aged 4 to 76 years, of which 21 to 50 years old accounted for 80%; duration of 1 week to 40 years; single stone 1082 cases, 897 cases of multiple stones, stone mold 94 cases; stone distribution in the renal pelvis calyx 1107 cases, 966 cases of ureteral segments, and 44 cases of bladder and urethral calculus. 1.2 anesthesia and body position 1988 October to August 1989 were used a single epidural anesthesia, patients suffering more. September 1989 switch to intensive anesthesia, due to the improvement of the operation only simple use of analgesics the same effect is satisfactory. For the kidney and upper ureteral calculi take supine position, lower urinary bladder calculi and lower limb flexion outreach semi-sitting position, while the middle ureteral calculi in order to avoid sacroiliac joint prone position. Since the end of 1991, the structure of the machine has been further improved so as to make the patient more prone when lying prone. 1.3 ECG monitoring Although the lithotripsy and heartbeat can be triggered simultaneously, but