摘要
目的探讨不同体位下微创经皮肾镜取石术治疗输尿管上段结石患者的临床效果。方法选取2012年6月至2014年6月河南省新乡医学院第三附属医院收治的90例输尿管上段结石患者为研究对象,按随机数字表法将其分为俯卧位、仰卧位及45°斜仰卧位组,每组30例。3组患者均行微创经皮肾镜取石术,观察并记录3组患者体位变化前后心率(HR)、收缩压(SBP)及舒张压(DBP),同时记录其建立通道时间、手术时间、术中出血量、一次性清石率、并发症发生情况。结果体位变化后,俯卧位组患者的SBP及DBP均明显低于仰卧位组、斜仰卧位组,差异均有统计学意义(均P<0.05);斜仰卧位患者手术时间明显短于仰卧位组、俯卧位组,术中出血量明显少于仰卧位组及俯卧位组,差异均有统计学意义(均P<0.05);斜仰卧位患者的一次性清石率明显高于仰卧位组及俯卧位组,差异有统计学意义(P<0.05)。结论 45°斜仰卧位下微创经皮肾镜取石术治疗输尿管上段结石临床效果更显著,具有手术时间短、术中出血量少、1次性清石率高的特点。
Objective To investigate the clinical effect of minimally invasive percutaneous lithotripsy in the treatment of upper ureteral calculi.Methods Selected June 2012 to 2014 June in Henan Province,Xinxiang Medical College;the Third Hospital Affiliated to treated 90 cases of ureteral ureteral calculi patients as the research object, according to the random number table method could be classified into prone,supine and 45 degree oblique supine group,30 cases in each group.Three groups of patients underwent minimally invasive percutaneous nephrolithotomy by,observe and record the change of position of 3 groups of patients before and after the heart rate（HR）,systolic blood pressure（SBP） and diastolic blood pressure（DBP） recorded at the same time.The establishment of channel time,operative time,blood loss,once clear stone rate,complication situation.Results Postural changes,prone position in patients with SBP and DBP were significantly lower than those in the supine position group,oblique supine position group,differences were statistically significant（P〈0.05）;in supine position of patients with operation time was significantly shorter in supine position group,the prone position group, intraoperative bleeding was significantly less than that in the supine group and the prone position group,differences were statistically significant（P〈0.05）;oblique supine patient of Qing stone rate was significantly higher than that in supine group and the prone position group,the difference was statistically significant（P〈0.05）.Conclusion 45 degree oblique lying on the back of minimally invasive percutaneous lithotripsy treatment of upper ureteral stones clinical effect is more significant,with shorter operation time, less blood loss, 1 times of the characteristics of high stone rate.
出处
《中国药物经济学》
2016年第7期118-120,共3页
China Journal of Pharmaceutical Economics
关键词
微创经皮肾镜取石术
输尿管上段结石
体位
Minimally invasive percutaneous nephrolithotomy
Upper ureteral calculi
Position
