腰-硬联合、硬膜外两点阻滞法在输尿管镜下气压弹道碎石和经皮肾镜碎石联合手术中的应用

The Application Of The Combined Spinal Epidural Anesthesia(CSEA) And Epidural Black Anesthesia With Double Conduit In Ureterorenoscopic PneumaticLithotripsy (URSL) And Percutaneous Neprnostolithotomy(PCNL)

目的探讨输尿管镜下气压弹道碎石(URSL)和经皮肾镜碎石(PCNL)联合手术的麻醉方法及术中管理。方法对50例采用腰-硬联合、硬膜外两点阻滞法完成URSL及PCNL联合手术麻醉回顾性总结。结果全组病人麻醉优良率100%,术中9例血压下降者经处理后平稳,术后全部病例无并发症发生。结论腰-硬联合、硬膜外两点阻滞法,用于URSL、PCNL联合术具有方便、安全、适合基层医院开展。

Objective To investigate anesthesia method and operative management to URSL And PCNL. Methods Reviewable summary for 50 cases of anesthesia to combined operation of URSL and PCNL.by CSEA and Epidural Black Anesthesia With Double Conduit. Results The excellent rate of the all clinical anesthesia cases is 100%. 9 cases that the blood pressure became stable after the low blood pressure patients had been treated on operation, and no complication happened in the all clinical cases. Conclusions The Combined opera- tion of URSL and PCNL. by CSEA and Epidural Black Anesthesia With Double Conduit is covenient, safe, practical and suitable to develop in base hospital.