斜仰卧位经皮肾镜碎石术效果分析(1)
[摘要] 目的 研究斜仰臥位经皮肾镜碎石术效果分析。方法 方便选择2018年2月—2019年2月期间进行治疗的肾结石患者66例，均进行经皮肾镜碎石取石术，根据随机数字表法不同分为两组均33例，其中对照组采取俯卧位，研究组实施斜仰卧位，观察两组患者手术情况、结石清除率、血流动力学。结果 两组患者通道建立时间、住院时间、出血量均差异无统计学意义(t=0.217、0.380、0.278，P=0.829、0.705、0.782)，研究组不同时间血流动力学均差异无统计学意义(P>0.05)，研究组手术时间少于对照组(t=6.245，P=0.000)，研究组术后并发症3.03%低于对照组15.15%(χ2=8.888，P=0.003)，研究组舒适度90.91%高于对照组75.76%(P<0.05)。结论 对于肾结石患者可采取斜仰卧位经皮肾镜碎石术，患者舒适度较高，且手术时间较短，并发症发生率较低。
[关键词] 斜仰卧位;俯卧位;经皮肾镜碎石术;肾结石
[中图分类号] R699 [文献标识码] A [文章编号] 1674-0742(2020)06(c)-0065-03
Analysis of the Effect of Percutaneous Nephrolithotripsy in Oblique Supine Position
HUANG Jun-bo
Department of Urology， Jiexi County People's Hospital， Jieyang， Guangdong Province， 515400 China
[Abstract] Objective To analyze the effect of percutaneous nephrolithotripsy in oblique supine position. Methods A total of 66 patients with renal stones treated from February 2018 to February 2019 were conveniently selected. All patients underwent percutaneous nephrolithotripsy and lithotripsy. According to the random number table method， 33 patients were divided into two groups， of which the control group took the prone position， the study group implemented a reclined supine position to observe the operation， stone clearance and hemodynamics of the two groups of patients. Results There was no statistically significant difference in channel establishment time， hospital stay and bleeding volume between the two groups (t=0.217， 0.380， 0.278， P=0.829， 0.705， 0.782). The hemodynamics of the study group were different at different times(P>0.05)， The operation time in the study group was less than that in the control group (t=6.245， P=0.000)， postoperative complications in the study group were 3.03% lower than those in the control group 15.15%(χ2=8.888， P=0.003)， and the comfort level in the study group was 90.91%. The control group was 75.76%(P<0.05). Conclusion For patients with kidney stones， oblique supine percutaneous nephrolithotripsy can be adopted， which has higher comfort， shorter operation time and lower complication rate.
[Key words] Reclining position; Prone position; Percutaneous nephrolithotripsy; Kidney stones
泌尿系结石是男性常见疾病，据流行病学显示[1]，泌尿结石已经对全世界人口造成影响，在我国南方发病率较高，因此大部分患者保守治疗效果不够理想，需要住院手术。随着现代生活水平不断提高，使得尿路结石位置出现变化，已经从下尿路结石变为肾结石[2]。由于结石位置不同，使得临床治疗措施不断发生变化，现代社会微创技术已经获得一定认可;经皮肾穿刺取石术的发展能够有效缩短患者卧床时间，患者伤口较小，容易被临床接受[3]。而常规俯卧位穿刺存在一定风险，对于肥胖患者会使其血流动力学出现障碍，通气功能造成影响。该文通过将不同体位纳入研究，方便选择2018年2月—2019年2月期间进行治疗的肾结石患者66例，分析斜仰卧位趋势优势，现报道如下。, 百拇医药(黄俊波)
[关键词] 斜仰卧位;俯卧位;经皮肾镜碎石术;肾结石
[中图分类号] R699 [文献标识码] A [文章编号] 1674-0742(2020)06(c)-0065-03
Analysis of the Effect of Percutaneous Nephrolithotripsy in Oblique Supine Position
HUANG Jun-bo
Department of Urology， Jiexi County People's Hospital， Jieyang， Guangdong Province， 515400 China
[Abstract] Objective To analyze the effect of percutaneous nephrolithotripsy in oblique supine position. Methods A total of 66 patients with renal stones treated from February 2018 to February 2019 were conveniently selected. All patients underwent percutaneous nephrolithotripsy and lithotripsy. According to the random number table method， 33 patients were divided into two groups， of which the control group took the prone position， the study group implemented a reclined supine position to observe the operation， stone clearance and hemodynamics of the two groups of patients. Results There was no statistically significant difference in channel establishment time， hospital stay and bleeding volume between the two groups (t=0.217， 0.380， 0.278， P=0.829， 0.705， 0.782). The hemodynamics of the study group were different at different times(P>0.05)， The operation time in the study group was less than that in the control group (t=6.245， P=0.000)， postoperative complications in the study group were 3.03% lower than those in the control group 15.15%(χ2=8.888， P=0.003)， and the comfort level in the study group was 90.91%. The control group was 75.76%(P<0.05). Conclusion For patients with kidney stones， oblique supine percutaneous nephrolithotripsy can be adopted， which has higher comfort， shorter operation time and lower complication rate.
[Key words] Reclining position; Prone position; Percutaneous nephrolithotripsy; Kidney stones
泌尿系结石是男性常见疾病，据流行病学显示[1]，泌尿结石已经对全世界人口造成影响，在我国南方发病率较高，因此大部分患者保守治疗效果不够理想，需要住院手术。随着现代生活水平不断提高，使得尿路结石位置出现变化，已经从下尿路结石变为肾结石[2]。由于结石位置不同，使得临床治疗措施不断发生变化，现代社会微创技术已经获得一定认可;经皮肾穿刺取石术的发展能够有效缩短患者卧床时间，患者伤口较小，容易被临床接受[3]。而常规俯卧位穿刺存在一定风险，对于肥胖患者会使其血流动力学出现障碍，通气功能造成影响。该文通过将不同体位纳入研究，方便选择2018年2月—2019年2月期间进行治疗的肾结石患者66例，分析斜仰卧位趋势优势，现报道如下。, 百拇医药(黄俊波)