[1]李腾成,吴杰英,湛海伦,等.输尿管上段结石两种麻醉方法的前瞻性随机对照研究(附视频)[J].中华腔镜泌尿外科杂志(电子版),2013,(06):18-21.
 LI Teng-cheng,WU Jie-ying,ZHAN Hai-lun,et al.Two different anesthesia methods for upper ureteral calculi: a prosective randomized controlled study[J].,2013,(06):18-21.
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输尿管上段结石两种麻醉方法的前瞻性随机对照研究(附视频)()
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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:
2013年06期
页码:
18-21
栏目:
出版日期:
2013-12-31

文章信息/Info

Title:
Two different anesthesia methods for upper ureteral calculi: a prosective randomized controlled study
作者:
李腾成吴杰英湛海伦胡成司徒杰李辽源高新
中山大学附属第三医院泌尿外科,广州,510630
Author(s):
LI Teng-chengWU Jie-yingZHAN Hai-lunHU ChengSITU JieLI Liao-yuanGAO Xin
关键词:
输尿管上段结石输尿管镜腰硬联合麻醉全身麻醉治疗
摘要:
目的 比较腰硬联合麻醉(CSEA)和全身麻醉(GA)下输尿管镜钬激光碎石取石术治疗输尿管上段结石的有效性和安全性.方法 2010年10月至2012年3月,输尿管上段结石患者(结石大小l ~2 cm),密闭信封法分为CSEA、GA两组.记录两组患者年龄、性别、ASA分级、病史和结石大小等临床资料.观察比较患者术中血压、心率、血氧饱和度、疼痛不适程度,术者操作难易程度,结石返回肾脏率、术后并发症以及住院总费用.结果 194例输尿管上段结石患者,CSEA组(n=89)和GA组(n=105),两组患者一般临床资料无统计学差异,术中两组患者生命体征均维持在正常范围内,氧饱和度变化无统计学意义(P>0.05).CSEA组术中患者疼痛不适率,操作难度和结石返回肾脏率明显高于GA组(P<0.05).CSEA组3例术中发生输尿管穿孔,GA组无一例输尿管穿孔病例,但GA组住院总费用较CSEA组费用高(P<0.05).结论 GA或CSEA均可用于输尿管镜钬激光碎石取石术治疗输尿管上段结石,但GA的有效性和安全性比CSEA更好.

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备注/Memo

备注/Memo:
中山大学临床研究5010计划项目(2007028);中山大学青年教师培育计划项目(11ykpy39医科[2012]7号)
更新日期/Last Update: 1900-01-01