斜仰卧位截石位一体联合经皮肾镜取石术在上尿路结石治疗中的价值研究

Value Research of Oblique Supine Lithotomy Combined with Percutaneous Nephrolithotomy in Treatment of Upper Urinary Calculi

目的探讨上尿路结石治疗中,选择斜仰卧位截石位,并采用经皮肾镜手术的临床效果及应用价值。方法选取广东省连州市人民医院2019年6月-2020年10月收治的76例上尿路结石患者,将其随机分为两组,分别采用传统俯卧位经皮肾镜治疗和采用斜仰卧位截石位一体,经皮肾镜治疗。结果观察组患者的术后并发症发生率情况明显优于对照组。同时观察组在安置体位后,对患者心血管、中枢神经系统基本无影响,而对照组患者在安置体位后,对这些系统的影响较大。此外,观察组患者的安全舒适指标明显高于对照组。结论对上尿路结石患者采用斜仰卧位截石位一体,经皮肾镜治疗,安全、可靠,整体治疗效果更为理想。

Objective To investigate clinical effect and application value of oblique supine lithotomy and percutaneous nephroscopy in treatment of upper urinary tract calculi.Methods The paper chose 76 patients with upper urinary tract stones treated in our hospital from June 2019 to October 2020,and divided them into two groups randomly,treated with traditional prone position percutaneous nephroscopy and oblique supine position lithotomy position respectively.Results Incidence of postoperative complications in observation group was significantly better than control group.At the same time,observation group had no effect on cardiovascular and central nervous system after position placement,while control group had greater effect on these systems after placement.In addition,safety and comfort indexes of observation group were significantly higher than control group.Conclusion Lithotomy position and percutaneous nephroscopy is safe and reliable in treatment of upper urinary tract calculi with oblique supine position,with ideal overall treatment effect.