非标准截石位在髋关节病变患者经尿道前列腺电切术体位摆放中的应用  

Application of non-standard lithotomy position in transurethral resection of the prostate in patients with hip joint disease

作　　者：李访斌 何玉娟 赵晔 党治军 李生伟 李寅然 LI Fangbin;HE Yujuan;ZHAO Ye;DANG Zhijun;LI Shengwei;LI Yinran(Department of Urology,the First People's Hospital of Yumen,Gansu Province,Yumen735211China;Department of Surgical Anesthesia,the First People's Hospital of Yumen,Gansu Province,Yumen735211,China)

机构地区：[1]甘肃省玉门市第一人民医院泌尿外科,甘肃玉门735211 [2]甘肃省玉门市第一人民医院手术麻醉科,甘肃玉门735211

出　　处：《中国当代医药》2024年第5期87-90,共4页China Modern Medicine

摘　　要：目的探讨非标准截石位在髋关节病变患者经尿道前列腺电切术体位摆放中的应用。方法选取2018年12月至2022年10月玉门市第一人民医院收治的26例髋关节病变、僵直,关节向外伸展角度受限不能摆放标准截石位的患者作为观察组,并选取同期标准截石位下行经尿道前列腺电切术患者35例作为对照组。观察两组手术操作者体位舒适度、患者体位舒适度、患者术后48 h体位相关并发症及手术时长。结果两组患者的手术操作者体位舒适度、患者体位舒适度、患者术后48 h体位相关并发症率及手术时长比较,差异无统计学意义(P>0.05)。结论髋关节病变、僵直不能采取截石位,影响手术操作者不应列为手术禁忌证,只要对手术体位稍作改良即可,且值得临床采纳、推广。Objective To investigate the application of non-standard lithotomy position in transurethral resection of prostate in patients with hip joint disease.Methods A total of 26 patients treated in the First People's Hospital of Yumen from December 2018 to October 2022 who had hip joint lesions and rigidity and whose outward extension Angle of the joint was limited and could not be placed in standard lithotomy position were selected as the observation group,and 35 patients who underwent tranthral electric prostatectomy under standard lithotomy position during the same period were selected as the control group.The comfort levels of the operators and comfort levels of the patients,and post-operation related complications 48 h after the operation and the duration of the operation were all observed.Results There were no significant differences in operator's position comfort,patient's position comfort,postural complication rate 48 h after surgery and operation duration between the two groups(P>0.05).Conclusion Patients with The hip joint disease and,stiffness of patients cannot be taken with lithotomy position and they should not be considered as the contraindications.In operations,the surgical position only need to be slightly improved.This surgical treatment is worthy of clinical adoption and promotion.

关 键 词：前列腺增生 截石位 经尿道前列腺电切术 髋关节病变 

分 类 号：R615[医药卫生—外科学]