[1]何国永 莫志伟 温俏玲 湛海伦.女性斜卧截石位与俯卧位经皮肾镜的比较[J].中华腔镜泌尿外科杂志(电子版),2015,(05):331-334.[doi:10.3877/cma.j.issn.1674-3253.2015.05.006 ]
 He Guoyong,Mo Zhiwei,Wen Qiaoling,et al.A comparative study between recumbent and lithotomy position and prone position in percutaneous nephrolithtomy in female[J].,2015,(05):331-334.[doi:10.3877/cma.j.issn.1674-3253.2015.05.006 ]
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女性斜卧截石位与俯卧位经皮肾镜的比较()
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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:
2015年05期
页码:
331-334
栏目:
临床研究
出版日期:
2015-12-31

文章信息/Info

Title:
A comparative study between recumbent and lithotomy position and prone position in percutaneous nephrolithtomy in female
作者:
何国永 1莫志伟 1温俏玲 1湛海伦 2
525200 广东,高州市中医院泌尿外科1;510630 广州,中山大学附属第三医院岭南医院泌尿外科2
Author(s):
He Guoyong1 Mo Zhiwei1 Wen Qiaoling1 Zhan Hailun2.
Department of Urology, Lingnan Hospital of Sun Yat-sen University, Guangzhou 510630, China
关键词:
肾造口术经皮肾结石斜卧截石位俯卧位女性
DOI:
10.3877/cma.j.issn.1674-3253.2015.05.006
摘要:
目的探讨斜卧截石位经皮肾镜弹道碎石术的临床应用价值。方法选择高州市中医院泌尿外科 2010年 3月至 2013年 3月女性肾结石患者 30例,随机分成 2组,试验组斜卧截石位 15例,对照组俯卧位 15例,超声引导下行微创经皮肾镜碎石取石术,监测记录手术开始到穿刺成功的时间、手术开始到手术完全结束的时间、结石取净率、术中出血量、术中患者舒适度及手术并发症等,并进行统计学分析。结果两组患者间年龄、结石大小、身体质量指数( BMI)差异均无统计学意义(P>0.05),两组手术均获成功。试验组手术开始到穿刺成功的平均时间明显短于对照组([ 15±3)min vs(30±7)min,P=0.004)],手术开始到手术完全结束的时间也短于对照组([ 87±20)min vs(125±25)min, P=0.002)],两组患者术中舒适度( P=0.001)及变换麻醉方式( P=0.031)差异也有明显统计学意义。而结石取净率(试验组 86.7%vs对照组 73.3%,P=0.361)、术中出血 [试验组( 65±20)ml vs对照组( 60± 18)ml,P=0.875)]及并发症发生率( P=0.666)均无统计学差异。结论斜卧截石位经皮肾镜术可明显缩短手术时间,术中患者舒适度高,增加了手术的安全性,值得临床推广应用。

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通讯作者:湛海伦,Email:hailunzhan@aliyun.com
更新日期/Last Update: 1900-01-01