斜仰卧位与仰卧位在输尿管软镜碎石术中疗效和安全性比较  

Comparison of efficacy and safety of oblique supine position and supine position in flexible ureteroscope lithotripsy

作　　者：庞宽[1] 庞桂建[1] 谭宝飞 党博文 张振强 黄彦[2] PANG Kuan;PANG Guijian;TAN Baofei;DANG Bowen;ZHANG Zhenqiang;HUANG Yan(Department of Urology,the First People’s Hospital of Yulin,Guangxi,Yulin 537000,China;Operating Room,the First People’s Hospital of Yulin,Guangxi,Yulin 537000,China)

机构地区：[1]广西壮族自治区玉林市第一人民医院泌尿外科,广西玉林537000 [2]广西壮族自治区玉林市第一人民医院手术室,广西玉林537000

出　　处：《中国医药科学》2024年第22期110-113,共4页China Medicine And Pharmacy

基　　金：广西壮族自治区玉林市科学研究与技术开发计划项目(玉市科[2022]35号-52)。

摘　　要：目的探究斜仰卧位与仰卧位在输尿管软镜碎石术(FURL)中的疗效和安全性。方法选取2021年1月至2022年12月玉林市第一人民医院泌尿外科收治的200例因肾结石行FURL的患者为研究对象,根据随机数表法分为对照组(仰卧位)和观察组(斜仰卧位)。比较两组手术情况、结石清除率、术后24 h疼痛程度、生活质量。结果观察组手术及住院时间短于对照组,输尿管导引鞘(UAS)首次置入失败率,术后6、9、12、24 h的疼痛评分低于对照组,一次性结石清除率、生活质量评分高于对照组,差异有统计学意义(P<0.05)。结论FURL配合斜仰卧位可缩短手术和住院时间,提高UAS首次置入成功率及一次性结石清除率,减轻术后疼痛,改善治疗后的生活质量。Objective To investigate the efficacy and safety of the oblique supine position and the supine position in flexible ureteroscope lithotripsy(FURL).Methods A total of 200 patients admitted to the Department of Urology of the First People’s Hospital of Yulin who underwent FURL for kidney stones from January 2021 to December 2022 were selected for the study.They were divided into the control group(supine position)and the observation group(oblique supine position)according to the random number table method.The operation,stone removal rate,postoperative pain level at 24 h,and quality of life of both groups were compared.Results The operation and hospitalization duration were shorter,the incidence of failure of the first ureteral access sheath(UAS)placement and postoperative pain scores at 6 h,9 h,12 h,and 24 h were lower,and the one-time stone removal rate and the quality of life score were higher in the observation group than those in the control group,with statistically significant differences(P<0.05).Conclusion FURL combined with oblique supine position can shorten surgery and hospitalization time,improve the success rate of first UAS implantation and one-time stone removal,alleviate postoperative pain,and improve the quality of life after treatment.

关 键 词：输尿管软镜碎石术 仰卧位 斜仰卧位 疗效 安全性 

分 类 号：R699.2[医药卫生—泌尿科学]