自制斜仰卧位体位架在经皮肾碎石取石术中的应用

Application of a Self-made Oblique-supine Position Equipment for Percutaneous Nephrolithotomy

目的探讨自制斜仰卧位手术体位架在经皮肾碎石取石术(percutaneous nephrolithotomy,PCNL)中的临床应用价值。方法 2009年3月~2016年12月在斜仰卧位PCNL术中应用自制手术体位架治疗上尿路结石94例,观察摆放体位前后BP、SpO_2、气道压变化。结果 94例均为手术成功,手术时间30~85 min,(51.5±27.3)min。在摆体位前后BP、SpO_2、全麻下气道压均在正常范围内。结论自制的手术体位架可以满足斜仰卧位PCNL体位的要求,体位状态牢靠且标准化,这种体位下行PCNL生命体征更稳定,安全性更高,值得临床推广应用。

Objective To explore the clinical application of a self-made oblique-supine position equipment for percutaneous nephrolithotomy （PCNL）. Methods A total of 94 cases of upper urinary tract calculi were given PCNL under general anesthesia by using a self-made oblique-supine position frame from March 2009 to December 2016. The BP, SpO 2, and airway pressure were observed before and after the position changes. Results The operations were successfully performed in all the 94 cases. The operation time was 30-85 min （mean, 51.5±27.3 min）. The BP, SpO 2 and airway pressure were within the normal range before and after the position changes. Conclusions The self-made operation position frame can meet the requirements of oblique-supine percutaneous nephrolithotomy surgery. Reliable and standardized position are important for PCNL to maintain stable vital signs. It is worthy of clinical popularization and application.