改良特伦德伦伯格体位在经输尿管镜钬激光碎石术中的应用  

Application of modified Trendelenburg position in ureteroscopic holmium laser lithotripsy

作　　者：陶奕飞 王淇超[2] 曹敬毅[2] 

机构地区：[1]江苏省徐州市肿瘤医院手术室,江苏徐州221005 [2]江苏省徐州市肿瘤医院泌尿外科,江苏徐州221005

出　　处：《中西医结合护理（中英文）》2018年第1期115-117,共3页Journal of Clinical Nursing in Practice

摘　　要：目的探讨改良的特伦德伦伯格体位在经输尿管镜中上段钬激光碎石手术中的应用效果。方法选取输尿管中上段结石采用输尿管镜钬激光碎石术的80例患者为研究对象,对照组40例采用常规截石位,研究组40例采用改良的特伦德伦伯格体位。观察2组首次进镜成功率、清石率及术后并发症发生率。结果研究组首次进镜成功率为95.00%(38/40)高于对照组的85.00%(34/40)。术后3 d复查,研究组结石清除率为85.00%(34/40),高于对照组的65.00%(26/40)(P<0.05)。研究组术后3 d发热发生率为2.50%(1/40)低于对照组的10.00%(4/40)。结论改良的特伦德伦伯格体位可帮助提高输尿管镜钬激光碎石术的进镜成功率及清石率。Objective To evaluate the modified Trendelenburg position in ureteroscopic holmium laser lithotripsy. Methods Totally 80 patients undergoing ureteroscopic holmium laser lithotripsy for ureteral calculi were enrolled and assigned into two groups according to the surgical position. Forty patients in the control group adopted the lithotomy position,and another 40 patients in the observation group received modified Trendelenburg position. The successful rate of one-time insertion,stone-free rate and postoperative complications were observed and compared between two groups. Results The successful rate of one-time insertion was 95. 00%( 38/40) in the observation group and was 85. 00%( 34/40) in the control group,with a significant difference( P < 0. 05). The stone-free rate was 85. 00%( 34/40) in the observation group and was 65. 00%( 26/40) in the control group( P < 0. 05). There was 1 case of fever in the observation group and4 cases of fever in the control group after operation. Conclusion Applying the Trendelenburg position is helpful to increase the successful insertion of ureteroscopy.

关 键 词：输尿管镜 钬激光碎石术 特伦德伦伯格体位 输尿管结石 手术护理 

分 类 号：R473.6[医药卫生—护理学]