岭南现代临床外科2016，Vol.16Issue(4)：480-483,4.DOI:10.3969/j.issn.1009-976X.2016.04.028
局麻联合 CT 三维重建在二期经皮肾镜取石中的应用
Application of local anesthesia combined CT three-dimensional reconstruction in the second phase of PCNL
林阳彦 1邱春明 1杨勇 1孙灿标 1邹枫 1李虎林2
作者信息
- 1. 528244 广东佛山 南海区第三人民医院泌尿外科
- 2. 510280 广州 南方医科大学珠江医院泌尿外科
- 折叠
摘要
Abstract
Objective To explore the clinical value and safety of local anesthesia combined CT 3D reconstruction in the second phase of percutaneous nephrolithotomy. Methods Between January 2012 and November 2015, 64 cases of patients with residual stone after PCNL were selected, and analyzed by CT 3D reconstruction, and second phase of PCNL was performed under local anesthesia. The stone clearance rate, security and pain degree were assessed. Results Of 64 cases undergoing PCNL, the residual renal stones were removed completely in 60 cases (93.8%), and 4 cases failed and the size of residual stones were less than 4.0 mm. Post-operative pain score included 54 cases in 0 to 3 points (84.4%), 7 cases in 4 to 6 points of (10.9%), and 3 cases in 7 to 9 points (4.7%). No one was transferred to general anesthesia for operation due to unbearable pain or needed open surgery. No serious complications occurred in all patients. The hemoglobin level, renal function and serum electrolytes had not changed obviously. Conclusion Management of local anesthesia combined CT three dimensional reconstruction was safe to treating remove residual calculi in the second phase of PCNL.关键词
局麻/CT三维重建/二期经皮肾镜取石Key words
Local anesthesia/CT three dimensional reconstruction/Second phase PCNL分类
医药卫生引用本文复制引用
林阳彦,邱春明,杨勇,孙灿标,邹枫,李虎林..局麻联合 CT 三维重建在二期经皮肾镜取石中的应用[J].岭南现代临床外科,2016,16(4):480-483,4.
