改良Valdivia体位下经皮肾镜取石术对肾结石的疗效及安全性研究  

Efficacy and Safety of Percutaneous Nephrolithotomy under Modified Valdi via Posture for Renal Calculi

作　　者：顾勇[1] 刘建军[1] 李勇[1] GU Yong;LIU Jianjun;LI Yong(The First People＇s Hospital of Akesu District,Xinjiang Akesu 843000,China)

机构地区：[1]新疆阿克苏地区第一人民医院泌尿外科,新疆阿克苏843000

出　　处：《河北医学》2018年第11期1773-1777,共5页Hebei Medicine

基　　金：新疆维吾尔自治区自然科学基金;(编号:201211A048)

摘　　要：目的:探讨改良Valdivia体位下经皮肾镜取石术对肾结石的疗效及安全性研究。方法:回顾性分析2016年10月至2017年11月我院收治的肾结石患者154例,研究对象分别为对照组和研究组,对照组采用俯卧体位,研究组采用改良Valdivia体位,对比两组临床疗效、血压及心率、手术结果和不良反应发生情况。结果:研究组采用改良Valdivia体位后的临床效果显著优于对照组(P<0.05);治疗前两组肾结石患者的血压和心率无明显差别(P>0.05),治疗后研究组肾结石患者的血压和心率明显比对照组低(P<0.05);研究组肾结石患者的手术时间、手术出血量、输血量均低于对照组(P<0.05),下床活动时间也明显比对照组高(P<0.05);治疗后研究组肾结石患者的伤口感染、胸闷气粗、躁动不安、胸膜损伤情况明显比对照组少(P<0.05)。结论:改良Valdivia体位下经皮肾镜取石术可提高肾结石患者的临床效果,稳定患者血压及心率,以及减少患者的并发症,安全可靠,值得临床推广。Objective： To investigate the efficacy and safety of percutaneous nephrolithotomy under improved valdi via posture for renal calculi. Methods： 154 patients with renal calculus admitted to our hospitalfrom October 2016 to November 2017 were analyzed retrospectively. The subjects were control group and studygroup. The control group was prone position and the study group was modified valdi via position. The clinicalefficacy, blood pressure and heart rate, surgical results and adverse reactions were compared between the twogroups. Results： The clinical effect of modified valdi via posture in the study group was significantly betterthan that in the control group （ P〈0.05 ）. There was no significant difference in blood pressure and heart ratebetween the two groups before treatment （ P〉0.05 ）. After treatment, the blood pressure and heart rate in thestudy group were significantly lower than those in the control group （ P 〈0.05 ）. The operation time, bloodloss and blood transfusion rate of kidney stone patients in the study group were all lower than those in the control group （P〈0.05 ））, and the ambulation time in the study group was also significantly higher than that inthe control group （P〈0.05 ）. After treatment, the wound infection, chest distress, dysphoria and pleura injury in the study group were significantly less than those in the control group （ P〈0.05 ）. Conclusion： Percutaneous nephrolithotomy in modified valdivia position can improve the clinical effect of renal calculi, stabilizeblood pressure and heart rate, and reduce the complications of patients, safe and reliable, worthy of clinicalpromotion.

关 键 词：Valdivia体位 经皮肾镜取石术 肾结石 

分 类 号：R699.2[医药卫生—泌尿科学]