斜仰卧位与截石位在输尿管软镜吸引取石术中的比较

发布时间：2018-02-27 02:31

本文关键词： 斜仰卧位截石位输尿管软镜　出处：《中国内镜杂志》2017年05期 　论文类型：期刊论文

【摘要】：目的比较斜仰卧位与截石位在输尿管软镜吸引取石术中应用的安全性及疗效。方法两组上尿路结石患者共82例,其中斜仰卧位47例,截石位35例,术前两组患者在年龄、性别和合并症等方面比较,差异均无统计学意义(P0.05),比较两组患者的手术时间、肾盂内压、术后30天清石率、并发症及住院天数。结果 73例手术一期完成,9例留置DJ管2周后成功行软镜手术。与截石位相比,斜仰卧位组患者的结石清除率明显提高,而手术时间明显缩短(P0.05)。两组的并发症、肾盂内压和住院天数差异无统计学意义(P0.05)。结论斜仰卧位输尿管软镜吸引取石术与传统体位相比,同样安全且碎石效率更高。
[Abstract]:Objective to compare the supine position and lithotomy position in flexible ureteroscopy safety and curative effect of attracting lithotomy. Methods two patients with upper urinary calculi in 82 cases, including 47 cases of oblique supine lithotomy position, 35 cases of preoperative patients in the two groups in age, gender and complications, there were no significant differences (P0.05), the operation time of the two groups were compared, intrapelvic pressure, 30 day postoperative stone clearance rate, complications and hospitalization days. Results 73 cases of 9 cases, DJ catheter 2 weeks after successful soft endoscopic surgery. Compared with lithotomy position. Oblique supine position group of patients with calculi clearance rate was obviously improved, and the operation time was significantly shortened (P0.05). Two groups of complications, intrapelvic pressure and hospitalization days showed no significant difference (P0.05). Conclusion oblique supine ureteral soft mirror attract lithotomy compared with the traditional position, the same safety and efficiency of crushed stone high.

【作者单位】：江西省赣州市人民医院(南昌大学附属赣州医院)泌尿外科;
【基金】：江西省科学技术厅重大科技项目(No:20152ACG70009) 赣州市科学技术局重大科技项目(No:赣市财教字[2014]131号) 赣州市科学技术局指导性科技计划项目(No:GZ2015ZSF182)
【分类号】：R699

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