医学临床研究
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医学临床研究  2020, Vol. 37 Issue (12): 1821-1823    DOI: 10.3969/j.issn.1671-7171.2020.12.018
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改良俯卧分腿位与传统先截石后俯卧位治疗复杂性肾结石的疗效比较
豆海锋1, 彭俊峰2, 王翼1
1.陕西省铜川市人民医院泌尿外科,陕西 铜川 727000;
2.宝石花长庆油田职工医院,陕西 西安 710018
Comparison of Effect and Safety between Modified Prone with Leg Separation and Traditional Prone Position after Lithotomy in Treatment of Complex Kidney Stones
DOU Hai-feng, PENG Jun-feng, WANG Yi
Department of Urology, Tongchuan People's Hospital, Tongchuan 727000, Shaanxi, China
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摘要 【目的】 探讨改良俯卧分腿位与传统先截石后俯卧位治疗复杂性肾结石的疗效和安全性。【方法】120例复杂性肾结石患者随机分为改良俯卧分腿位组(观察组,60例)和对照组(60例),观察组患者在改良俯卧分腿位进行经皮肾镜碎石取石术(PCNL),对照组在常规截石位后转至俯卧位进行PCNL。比较两组手术效果及并发症发生情况。【结果】 观察组手术时间、建立通道时间均短于对照组,术中出血量低于对照组(P<0.05)。观察组住院时间、首次排气时间短于对照组,再次手术率低于对照组,结石取尽率高于对照组,且差异均有显著性(P<0.05)。术后观察组VAS评分较对照组降低(P<0.05)。两组并发症发生率相比较差异无显著性(P>0.05)。观察组术后4周生活质量评分高于对照组(P<0.05)。【结论】 对于复杂性肾结石患者,在PCNL中使用改良俯卧分腿位可缩短手术时间、提高结石取尽率、促进患者术后恢复、改善生活质量,且不增加并发症发生。
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豆海锋
彭俊峰
王翼
关键词 肾结石/外科学体位治疗结果    
Abstract【Objective】 To compare the effect and safety of modified prone posture with leg separation and traditional prone posture after lithotomy in the treatment of complex kidney stones. 【Methods】 A total of 120 patients with complex kidney stones treated in our hospital were randomly divided into the observation group (n=60) and the control group (n=60). Patients in the observation group were in the modified prone with leg separation to receive percutaneous nephrolithotomy(PCNL); while patients in the group were in the conventional prone after lithotomy for PCNL. The surgical efficacy and complications were compared between the two groups. 【Results】 The operation time and channel establishment time of the observation group were shorter than those of the control group; and the intraoperative blood loss in the observation group was lower than that in the control group (P<0.05). In the observation group, the hospitalization time and the first exhaust time were shorter, the reoperation rate was lower, and the rate of stone removal was higher than in the control group (P<0.05). The VAS score of the observation group was lower than that of the control group after surgery (P<0.05). There was no significant difference in the incidence of complications between the two groups (P>0.05). The quality of life score in the observation group at 4 weeks after operation was higher than that in the control group; and the difference was statistically significant (P<0.05). 【Conclusion】For patients with complicated renal calculi, the use of modified prone posture with leg separation during percutaneous nephrolithotripsy can shorten the operation time, increase the rate of stone removal, promote postoperative recovery, and improve the quality of life without increasing complications.
Key wordsKidney Calculi/SU    Posture    Treatment Outcome
收稿日期: 2020-07-29     
PACS:  R692.4  
通讯作者: E-mail:563739545@qq.com   
引用本文:   
豆海锋, 彭俊峰, 王翼. 改良俯卧分腿位与传统先截石后俯卧位治疗复杂性肾结石的疗效比较[J]. 医学临床研究, 2020, 37(12): 1821-1823.
DOU Hai-feng, PENG Jun-feng, WANG Yi. Comparison of Effect and Safety between Modified Prone with Leg Separation and Traditional Prone Position after Lithotomy in Treatment of Complex Kidney Stones. JOURNAL OF CLINICAL RESEARCH, 2020, 37(12): 1821-1823.
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http://journal07.magtech.org.cn/yxlcyj/CN/10.3969/j.issn.1671-7171.2020.12.018     或     http://journal07.magtech.org.cn/yxlcyj/CN/Y2020/V37/I12/1821
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