国际医药卫生导报2012，Vol.18Issue(5)：639-642,4.DOI:10.3760/cma.j.issn.1007-1245.2012.05.016
三种体位经皮肾镜取石术中肾盂内压变化
Variation of renal intrapelvic pressure of three body positions during percutaneous nephrolithotomy
曾鹏 1黄健 2邵琳 1吴小伟 1莫鉴锋 1曾健文 1杨经文 3杨曦1
作者信息
- 1. 511500 暨南大学附属清远医院泌尿外科
- 2. 510078广州,中山大学附属孙逸仙医院泌尿外科
- 3. 511500 暨南大学附属清远医院麻醉科
- 折叠
摘要
Abstract
Objective To explore the affection of different body positions on intrapelvic pressure during percutaneous nephrolithotomy ( PCNL ).Methods Ninety-one patients who underwent PCNL at our hospital were studied,and these patients were divided into three groups based on their body position ( prone position,n=32; lateral position,n=30; obliqu.e supine position,n=29 ).An open-end 6 F ureteral catheter was inserted into the target ureter.The average irrigation fluid was about 337 ml/min;average irrigation pressure was 176 mm Hg ( 1 mm Hg=0.133 kPa ).Intrapelvic pressures were collected once per second with urodynamic work stations,and the data was analyzed.Results The average intrapelvic pressure of different positions during PCNL,prone position,lateral position,and oblique supine position,were ( 30.53 ± 4.79 ),( 31.76 ± 3.55 ),( 18.33 ± 2.71 ) cm H2O ( 1 cm H2O=0.098kPa ),respectively.Intrapelvic pressure of oblique supine position was significant lower than that of prone position and lateral position ( P ＜ 0.01 ),but there was no difference in intrapelvic pressure between prone position and lateral position ( P ＞ 0.05 ).Conclusions Intrapelvic pressures of different positions during PCNL were lower than the safety level ( 40 cmH2O ).The intrapelvic pressure of oblique supine position for PCNL was lower than that of prone and lateral position,but there were no significant difference in intrapelvic pressure between prone and lateral position.关键词
经皮肾镜取石术/PCNL/肾盂内压/肾内压Key words
Percutaneous nephrolithotomy/PCNL/Renal pelvic pressure/Intrarenal pressure引用本文复制引用
曾鹏,黄健,邵琳,吴小伟,莫鉴锋,曾健文,杨经文,杨曦..三种体位经皮肾镜取石术中肾盂内压变化[J].国际医药卫生导报,2012,18(5):639-642,4.
