[1]许可慰,张彩霞,郭正辉,等.斜仰卧-截石位经皮肾镜取石术治疗复杂性肾结石[J].中华腔镜泌尿外科杂志(电子版),2012,(05):5-8.
 XU Ke-wei,ZHANG Cai-xia,GUO Zheng-hui,et al.Percutaneous nephrolithotomy in semisupine-lithotomy position for complex renal calculus[J].,2012,(05):5-8.
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斜仰卧-截石位经皮肾镜取石术治疗复杂性肾结石()
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中华腔镜泌尿外科杂志(电子版)[ISSN:1006-6977/CN:61-1281/TN]

卷:
期数:
2012年05期
页码:
5-8
栏目:
出版日期:
1900-01-01

文章信息/Info

Title:
Percutaneous nephrolithotomy in semisupine-lithotomy position for complex renal calculus
作者:
许可慰张彩霞郭正辉黄海林天歆江春韩金利黄健
中山大学孙逸仙纪念医院,广州,510120
Author(s):
XU Ke-weiZHANG Cai-xiaGUO Zheng-huiHUANG HaiLIN Tian-xinJIANG ChunHAN Jin-liHUANG Jian
关键词:
肾结石经皮肾镜取石术斜仰卧-截石位
摘要:
目的 探讨斜仰卧-截石位经皮肾镜取石术治疗复杂性肾结石的手术方法与安全性评价.方法 2007年3月至2011年12月为686例复杂性肾结石施行斜仰卧-截石位经皮肾镜取石术.男474例,女212例,年龄47.7±12.9岁.术中在斜仰卧-截石位下先行患侧输尿管逆行插管,然后超声定位下建立16-22 F的经皮肾工作通道.从经皮肾通道置入8/9.8 F输尿管镜,采用气压弹道碎石器在灌注泵配合下边冲洗边碎石.记录手术时间、出血量、结石取尽率、并发症等资料,与同期施行的340例俯卧经皮肾镜取石术的临床资料相比较.结果 斜仰卧-截石位经皮肾镜取石术均顺利实施,手术时间72.9±28.7 min,比俯卧位经皮肾镜取石术时间缩短;术中估计出血104.3±76.6 ml,输血率1.31%,结石取尽率80.6%,总体并发症发生率2.62%,与俯卧位组无统计学差异.97.7%的患者诉体位舒适,优于俯卧位组(64.1%).结论 斜仰卧-截石位施行经皮肾镜取石术治疗复杂性肾结石患者体位舒适,安全可行,并发症少;利于术中麻醉监护,提高了手术的安全性;便于术中碎石冲洗出体外,手术效果良好.

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更新日期/Last Update: 1900-01-01