摘要
目的探讨斜卧截石位在经皮肾镜碎石取石术的应用效果。方法选取2012年5月~2017年5月我院收治的120例肾结石患者为主要研究对象,采用随机分配的原则对其进行分组,每组60例。两组患者均接受经皮肾镜碎石取石术治疗,对照组采用常规俯卧位手术,观察组采用斜卧截石位手术,对比两组手术体位对治疗指标和效果的影响。结果观察组患者在安置体位时间、手术时间上,与对照组相比均有明显优势,差异有统计学意义(P<0.05);观察组的一期碎石成功率为95.0%,与对照组的73.33%相比,差异有统计学意义(P<0.05);在术后并发症发生率上,差异无统计学意义(P>0.05),均无严重并发症。结论在经皮肾镜碎石取石术中应用斜卧截石位,具有手术时间短、碎石成功率高、安全性高、操作方便等优势,在肾结石治疗中应用价值高。
Objective To investigate the effect of oblique lithotomy position in percutaneous nephrolithotomy.Methods From May2012to May2017,120cases of renal calculi in our hospital were selected as the subjects.The patients were divided into groups according to the principle of random distribution,with60cases in each group.Two groups of patients were treated by percutaneous nephrolithotomy.The control group was treated with conventional prone position,while the observation group was operated on the oblique lithotomy position.The effect of two groups of surgical position on the treatment index and effect was compared.Results The patients in the observation group had obvious advantages compared with the control group in the position of position time and operation time,and the difference was statistically significant(P<0.05).The success rate of the first stage lithotripsy in the observation group was95%,compared with the control group of73.33%,the difference was statistically significant(P<0.05).There was no significant difference in the incidence of postoperative complications(P>0.05),and no serious complications were found.Conclusion The application of oblique lithotomy position in percutaneous nephrolithotomy has the advantages of short operation time,high success rate of lithotripsy,high safety,convenient operation,and it has high application value in the treatment of renal calculi.
作者
李联辉
蒋健武
戴凌云
LI Lianhui;JIANG Jianwu;DAI Lingyun(Department of Urology,Dongguan Shipai Hospital,Dongguan 523330,China)
出处
《中国医药科学》
2018年第4期231-233,共3页
China Medicine And Pharmacy
关键词
斜卧截石位
经皮肾镜碎石取石术
治疗
效果
Oblique lithotomy position
Percutaneous nephrolithotomy:Treatment
Effect
