俯卧位和斜侧卧位术式经皮肾镜取石术患者中效果比较  

Comparison of effects of oblique lateral position and prone position in percutaneous nephrolithotomy surgery

作　　者：张强 张超[2] 

机构地区：[1]云南省曲靖市沾益县人民医院泌尿外科,云南曲靖655000 [2]云南省曲靖市第一人民医院泌尿外科

出　　处：《中国民康医学》2016年第6期21-23,共3页Medical Journal of Chinese People’s Health

摘　　要：目的:比较在俯卧位和斜侧卧位术式经皮肾镜取石术患者中的效果。方法:将肾结石、输尿管上段结石患者78例分为俯卧位组和斜侧卧位组。两组患者均实施经皮肾镜碎石取石术。斜侧卧位组患者42例,采取腰硬联合麻醉,斜侧卧位体位取石;俯卧位组患者36例,采取全麻醉,俯卧位体位取石。比较两组患者的手术效果。结果:两组患者的手术时间、术中出血、结石清除率均无差异,住院时间斜侧卧位组患者较俯卧位组短。结论:经皮肾镜取石术在俯卧位和斜侧卧位两种体位取患者结石的效果,除斜侧卧位住院时间较俯卧位短外,其总体效果相同。Objective To compare effects of prone position and oblique lateral position in percutaneous nephrolithotomy （PCNL） surgery. Methods： 78 patients with kidney stone and upper ureteral calculi were divided into prone position group and obliquelateral position group, and were given percutaneous nephrolithotomy. 42 cases in oblique lateral position group received combined spinal and epidural analgesia and the stones were removed in the oblique lateral position, while 36 cases in prone position group were using the general anesthesia, and the stones were taken out in the prone position. The effects of the two groups were compared. Results：There were no differences in the operative time, blood loss, and stone clearance rate between the two groups; however, the hospitalstay of oblique lateral position group was shorter than that of prone position group. Conclusions： Except the hospital stay, the obliquelateral position in percutaneous nephrolithotomy has a similar total effect to prone position.

关 键 词：经皮肾镜 俯卧位 斜侧卧位 

分 类 号：R692.4[医药卫生—泌尿科学]