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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2013年1月至2016年1月泌尿外科肾结石患者100例,均经由影像学检查以及临床病症确诊,均接受经皮肾镜碎石取石术。将100例患者随机分为两组,每组50例,两组均接受经皮肾镜碎石取石处理,对照组术中保持常规俯卧位,实验组则选择斜卧截石位。对比两组手术用时、术中出血量、并发症发生率以及一期碎石成功率。结果实验组一期碎石成功率94.0%(47/50)高于对照组的78.0%(39/50),差异有统计学意义(P<0.05)。实验组手术用时短于对照组,差异有统计学意义(P<0.05);两组术中出血量比较差异未见统计学意义(P>0.05)。两组并发症发生率比较差异未见统计学意义(P>0.05)。结论斜卧截石位下行经皮肾镜碎石取石术用时更短,较少并发症,手术安全性与一期碎石成功率更高。
Objective To investigate the application effect of oblique lithotomy in percutaneous nephrolithotomy. Methods From January 2013 to January 2016, 100 patients with urolithiasis were diagnosed by imaging examination and clinical symptoms. All cases underwent percutaneous nephrolithotripsy. 100 patients were randomly divided into two groups, 50 cases in each group, both groups were treated with percutaneous nephrolithotomy lithotripsy, the control group remained normal prone position, the experimental group was selected oblique position stone. The operation time, intraoperative blood loss, complication rate and the success rate of primary gravel were compared between the two groups. Results The success rate of primary gravel in experimental group was 94.0% (47/50), which was significantly higher than that in control group (78.0%, 39/50) (P <0.05). The operation time of the experimental group was shorter than that of the control group, the difference was statistically significant (P <0.05). There was no significant difference between the two groups in the amount of bleeding during operation (P> 0.05). The incidence of complications between the two groups showed no significant difference (P> 0.05). Conclusions The percutaneous nephrolithotomy with oblique lithotomy is shorter and less complicated, and the safety of operation and the success rate of primary lithotripsy are higher.