两种体位下B超引导微创经皮肾镜碎石术治疗肾结石的比较研究

Comparison of two positions for minimally invasive percutaneous nephrolithotomy for renal calculi under ultrasound guidance

目的比较斜侧卧位与俯卧位两种不同体位下B超引导微创经皮肾镜碎石术治疗肾结石的安全性及疗效。方法对98例在斜侧卧位及38例在俯卧位下行B超引导微创经皮肾镜碎石术治疗的肾结石患者的临床资料进行回顾性对比分析。结果两组患者在目标肾盏穿刺成功率、操作通道建立时间、手术时间、术中出血量、术后发热、残石率及脏器误伤等方面差异无显著性。结论两种体位下B超引导微创经皮肾镜碎石术治疗肾结石,其手术安全性、疗效基本相当,但斜侧卧体位摆置简便,患者耐受性更好,更利手术操作。

【Objective】To compare the safety and effects of minimally invasive percutaneous nephrolithotomy for renal calculi under ultrasound guidance in prone position with those in inclined lateral decubitus. 【Methods】The outcomes of minimally invasive percutaneous nephrolithotomy for renal calculi under ultrasound guidance in prone position and in inclined lateral decubitus were analyzed retrospectively and compared. 【Results】There was not statistically difference in the successfully puncture ratio, the time of establishing working channel, the operative time, the amount of bleeding, fever ratio, residual stone rate and the complication rate of other organs injuries between the two groups. 【Conclusions】Minimally invasive percutaneous nephrolithotomy for renal calculi under ultrasound guidance has similar safety and effects in prone position or in inclined lateral decubitus, but patients in inclined lateral decubitus can be placed more easily and comfortably, which is more beneficial to operation.