中国现代手术学杂志2012，Vol.16Issue(4)：280-282,3.
斜仰截石位下经皮肾镜取石术的临床研究
Application of Anterolateral Supine Lithotomy Position in Percutaneous Nephrolithotomy
季辉华 1张少峰 1贾洪涛 1刘云 1孙成亮 1李云飞1
作者信息
- 1. 湖北医药学院附属人民医院泌尿外科,十堰442000
- 折叠
摘要
Abstract
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 hyper-pyrexia in 2 cases and cured by antibiotic medicine. No complication such as visceral injury occurred. Conclusion PCNL is safe and effective for renal and ureteric calculi in the anterolateral supine lithotomy position with good tolerance of patient.关键词
肾造口术,经皮/肾结石/输尿管结石/体位Key words
nephrostomy/percutaneous/ kidney calculi/ ureteral calculi/ posture分类
医药卫生引用本文复制引用
季辉华,张少峰,贾洪涛,刘云,孙成亮,李云飞..斜仰截石位下经皮肾镜取石术的临床研究[J].中国现代手术学杂志,2012,16(4):280-282,3.
