期刊文献+

斜仰截石位下经皮肾镜取石术的临床研究 被引量:4

Application of Anterolateral Supine Lithotomy Position in Percutaneous Nephrolithotomy
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摘要 目的研究斜仰截石位经皮肾镜取石术(percutaneous nephrolithotomy,PCNL)治疗肾和输尿管上段结石的临床价值。方法采用斜仰截石位行PCNL治疗肾输尿管结石患者68例,其中肾结石28例,输尿管上段结石40例。结石最大径平均(2.1±1.6)cm。结果本组68例患者均手术成功,无一例中转开放手术。采用单通道64例,双通道4例。平均手术时间(88.0±36.5)min,术中平均出血量(150.0±70.5)ml。一次性结石清除率为89.7%(61/68),残留结石7例,其中4例二期手术取尽结石,3例行ESWL治疗。术后严重出血3例,行输血治疗;高热2例,予敏感抗生素治疗后痊愈。无胸膜、结肠等腹腔脏器损伤等并发症发生。结论斜仰截石位行PCNL术治疗肾输尿管结石安全有效,患者耐受性好。 Objective To investigate the clinical value of percutaneous nephrolithotomy (PCNL) in anterolateral supine lithotomy position. Methods A total of 68 patients were treated by PCNL with anterolateral supine lithotomy position, including 28 of renal calculi and 40 of upper ureteric calculi. The maximum diameter of stone was (2.1± 1.6) cm averagely. Results All patients were carried out the PCNL without conversion to open surgery. Among them, single channel was in 64 cases and dual-channel was in 4 cases. The operation time was ( 88.0 ±36.5 ) minute and the intraoperative blood loss was ( 150.0 ± 70.5 ) ml. The one-time stone clearance rate was 89.7%. Residual stones were found in 7 cases and cleared by second operation in 4 cases and ESWL in 3 cases. Postoperative hemorrhage occurred in 3 cases and received blood transfusion, and hyperpyrexia in 2 cases and cured by antibiotic medicine. No complication such as visceral injury occurred. Con- clusion PCNL is safe and effective for renal and ureteric calculi in the anterolateral supine lithotomy position with good tolerance of patient.
出处 《中国现代手术学杂志》 2012年第4期280-282,共3页 Chinese Journal of Modern Operative Surgery
关键词 肾造口术 经皮 肾结石 输尿管结石 体位 nephrostomy, pereutaneous kidney calculi ureteral calculi posture
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参考文献14

  • 1Miano R, Scoffone C, De Nunzio C, et al. Position : prone or su- pine is the issue of percutaneous nephrolithotomy[ J].J Endouml, 2010, 24(6) :931-938.
  • 2舒铁环,李力,向桂桥,颜廷帅,全科立,刘祚君.两种体位对微创经皮肾镜取石术中腹内压及出血量的影响[J].中国内镜杂志,2012,18(3):249-251. 被引量:13
  • 3Valdivia Urta JG, Valle Gerhold J, Lopez Lope'z JA, et al. Technique and complications of percutancons nephroscopy : experience with 557 pa- tients in the supine position[J]. J Urol, 1998, 160(6 Pt 1) :1975-1978.
  • 4Ibarluzea G, Scoffone CM, Cracco CM, et al. Supine Valdivia and moditied lithotomy position for simultaneous anterograde and retro- grade endourologieal access[ J]. BJU Int, 2007, 100( 1 ) :233-236.
  • 5De Sio M, Autorino R, Quarto G, et al. Modified supine versus prone position in percutaneous nephrolithotomy for renal stones treatable with a single percutaneous access: a prospective random- ized trial[J]. Eur Urol, 2008, 54 ( 1 ) : 196-202.
  • 6黄健,许可慰,郭正辉,林天歆,谢文练,韩金利,姚友生,黄海.斜卧位微创经皮肾镜取石术55例报告[J].中华泌尿外科杂志,2007,28(1):15-18. 被引量:99
  • 7Amon Sesmero JH, Del Valle Gonza1ez N, Conde Redondo C, et al. Comparison between Valdivia position and prone position in percuta- neous nephrolithotomy[ J ]. Actas Urol Esp, 2008, 32(4):424-429.
  • 8徐世田,王家武,张成瑶.系统评价仰卧位与俯卧位在经皮肾镜取石术中的应用[J].重庆医学,2012,41(3):216-219. 被引量:8
  • 9钱庆鹏,张晓春,那彦群.经皮肾镜取石术的并发症与对策[J].临床泌尿外科杂志,2007,22(7):491-493. 被引量:131
  • 10Shin TS, Cho HJ, Hong SH, et al. Complications of Percutaneous Nephrolithotomy Classified by the Modified Clavien Grading Sys- tem: A Single Center's Experience over 16 Years [ J]. Korean J Urol, 2011, 52( 11 ) :769-775.

二级参考文献35

  • 1刘建平.非随机研究的系统评价方法(一)[J].中国循证医学,2001,1(4):239-243. 被引量:73
  • 2覃东琼,何冰玲,尼建平,陈桂荣,谭杰琳.B超引导下经皮肾穿刺微造瘘治疗肾结石[J].中国内镜杂志,2005,11(10):1016-1018. 被引量:9
  • 3Scoffone CM,Cracco CM,Cossu M,et al.Endoscopic cornbined intrarenal surgery in Galdakao-modified supine Valdivia position:a new standard for percutaneous nephrolithotomy[J].Eur UroI,2008,54(11):1393-1403.
  • 4Edgcombe H,Carter K,Yarrow S.Anaesthesia in the prone position[J].Br J Anaesth,2008,100(2):165-183.
  • 5Clayman RV.Supine position is safe and effective for percutaneous nephrolithotomy[J].J Urol,2005,174(2):601-602.
  • 6Jadad AR,Moore RA,Carroll D,et al.Assessing the quality of reports of randomized clinical trials:Is blinding necessary[J].Control Clin Trials,1996,17(1):1-12.
  • 7Falahatkar S,Asgari SA,Nasseh A,et al.Kidney displacement in complete supine PCNL is lower than prone PCNL[M].Urol Res,2010,DOI:1007/s00240-010-0314-1.(published online:12 October 2010).
  • 8Sio DM,Autorino R,Quarto G,et al.Modified supine versus prone position in percutaneous nephrolithotomy for renal stones treatable with a single percutaneous access:a prospective randomized trial[J].Eur Urol,2008,54(2):196-202.
  • 9Falahatkar S,Moghaddam AA,Salehi M,et al.Complete supine percutaneous nephrolithotripsy comparison with the prone standard technique[J].J Endourol,2008,22(21):2513-2517.
  • 10Shoma AM,Eraky I,El-Kenawy MR,et al.Percutaneous nephrolithotomy in the supine position:technical aspects and functional outcome compared with the prone technique[J].Urology,2002,60(3):388-392.

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