截石斜45°仰卧位经皮肾镜取石术  

Minimally invasive percutaneous nephrolithotomy in lithotomy and oblique 45° supine position

作　　者：巩全华[1] 刘士峰[1] 杨景明[1] 韩品行 

机构地区：[1]江苏省连云港市灌南县人民医院泌尿外科,222500

出　　处：《中华腔镜泌尿外科杂志（电子版）》2013年第6期26-28,共3页Chinese Journal of Endourology(Electronic Edition)

摘　　要：目的探讨截石斜45°仰卧位在经皮肾镜取石术中的应用。方法 2011年1月至2012年4月对50例肾结石及输尿管上段结石患者应用自制金属体位架实施了超声引导下截石斜45°仰卧位经皮肾镜取石术。男性患者23例,女性27例,左侧20例,右侧30例,肾结石37例,输尿管上段结石13例,结石直径(2.6±1.8)cm,回顾性分析手术时间、出血量、结石取尽率、并发症、安全性等资料。结果 50例手术顺利完成,无中转手术。手术时间(110.8±65.5)min,术中出血量(215.7±133.2)ml,1例术中输血,结石清除率96%(48/50),无胸膜、腹腔脏器损伤等并发症发生。结论采用截石斜45°仰卧位金属体位架进行经皮肾镜取石术具有体位舒适、操作方便等优点。Objective To discuss a new lithotomy and oblique 45° supine position for performing minimally invasive percutaneous nephrolithotomy. Methods 50 patients （23male, 27female） with renal calculi （37 cases） or upper ureteral calculi （13 cases） underwent modified mini-PCNL from January 2011 to April 2012. The patients were placed in lithotomy position on a homemade metal oblique 45° supine position shelf. Stone diameter was （2.6±1.8） cm. The operative time, blood loss, stone clearance rate, complications and safety were evaluated retrospectively. Results All surgeries were successfully completed without conversition. The operative time was （ 110.8±65.5） min. Intraoperative blood loss was （215.7± 133.2） ml, blood transfusion was needed in 1 patient. The stone clearance rate was 96% （48/50） without pleural or abdominal organ injuries and any other complication. Conclusions Lithotomy and oblique 45o supine position for mini-PCNL is convenient and comfortable.

关 键 词：截石 斜45° 仰卧位 体位架 结石 经皮肾镜 

分 类 号：R692.4[医药卫生—泌尿科学]